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Weinmann Medumat Transport Emergency Ventilator

1. Unit off Unit on Problem duri rik red red H EE charging current charge status Battery is being off aif ca discharged current charge status Battery missing or pas defective oi reg current charge status Charging batteries harging indicator Ending battery charging Note MEDUMAT Transport starts charging the battery automatically as soon as the following conditions are met External power supply with at least 12 V DC connected The battery is not full lt 95 charge Battery temperature not above 45 C or below 5 C The battery WM 28385 has its own charging interface so it can also be charged outside the MEDUMAT Transport Only use the charger WM 28390 If charging cannot be started e g because the battery temperature is outside the permitted range 5 C 45 C the charging indicator glows red It only goes out once all the conditions for starting charging are met While the battery is being charged the charging indicator flashes green MEDUMAT Transport automatically determines the optimum point at which to end charg ing by measuring and evaluating the charging curve and battery temperature As soon as charging has ended the charging indicator glows steady green 58 Operation Interrupting battery charging Battery charging is continuously monitored by MEDUMAT Transport Problems which lead to charging being interrupted are e Battery temperature
2. 6 Configuring the unit 6 Automatic alarm limits 6 2 Setting alarm limits 6 3 Setting the presentation of 2 Contents 21 23 6 4 6 5 6 6 6 7 7A 7 2 7 3 7 4 7 5 8 1 8 2 8 3 8 4 9 1 9 2 9 3 10 10 1 10 2 10 3 10 4 10 5 10 6 11 11 1 11 2 11 3 12 12 1 12 2 ventilation values only with units with etCO measurement 62 Setting advanced respiratory Parameters ote riren wad a os 63 Night colors display mode 66 Setting the display brightness and the volume 67 OpllOns vei er ek Weed 68 Hygienic preparation 70 MEDUMAT Transport 70 Hose systems 00 70 Parts and accessories 71 PICS as eea e Ot tate 71 Cleaning disinfection and Sterilization 0005 72 Function check 4 74 InterValSs 4 nisha nasri aniis 75 Checking the system for leaks 75 Checking the patient valve only reusable hose system 77 Automatic function check 77 Troubleshooting 80 Troubleshooting 80 Physiologic alarms 81 System alarms 82 Maintenance 85 MEDUMAT Transport 85 Batteries see raean i i 86 ACCESSOTIES c a ee eee ee 86 Changing the suction filter 87 StOrdQe i e eee ee a LS 88 Disposal 005 88 Product accessories 89 Standard scope
3. Connect the patient valve with BiCheck flow sensor to the hose following intubation If performing mask ventilation attach the ventilation mask to the patient valve with the BiCheck flow sensor identical to tube connection Note You can remove the elbow to reduce the dead space or to adapt the hose routing to suit the patient s position 20 Installation Tube protection sleeve The tube protection sleeve is pulled over the ventilation hose with connected BiCheck flow sensor It prevents the hose system from tangling on other items of equipment and being damaged Water filter for CO removal tube The water filter WM 97012 loses efficiency after approx 8 hours of continuous operation depending on the temperature humidity and any coarse particles such as mucus Change the filter after eight hours at the latest The filter s decreasing efficiency is indicated by the alarm message CO occlusion on the display This message is accompanied by a low priority audible alarm 3 3 Accessories from other manufacturers Caution The unit s USB interface is intended exclusively for use by the manufacturer or an authorized technician for servicing work Do not connect equipment of any sort to the USB as this will interfere with operation of the unit putting the patient at risk HME filter bacterial filter combined HME bacterial filter If a filter is used install it between the patient connection o
4. When the battery is removed from the unit you can check the charge level on the battery itself The state of charge is indicated by 4 green LEDs Press the button on the battery see drawings opposite ooo0oo D E Accu Pack Plus MEDUMAT Transport WM 28385 A Charging status indicator charge level Battery charge level indicator 4 LEDs 100 3 LEDs 75 2 LEDs 50 Charge Button 1 LED 25 indicator 1 LED flashing less than 10 minutes charge left Status LED The battery s state of charge is indicated by the status LED Status LED LED glows green Battery Battery fully charged LED flashes green Battery is being charged LED glows red Battery defective Do not use The charging status is only indicated when the external power supply is connected as only then is it possible to charge the battery When MEDUMAT Transport is off the charging status is shown by the charging indicator When MEDUMAT Transport is on both the charging status and the battery s charge level are indicated Key to charging status and charge level indicators Unit off Unit on Charging eee pee ae Charging indicator Charge level indicator indicator LLE Battery charging flashes green flashes green current charge status Battery full green green P Operation 57
5. dyn supply pressure drawn flow at least 2 1 bar at least 80 l min less than 2 1 bar less than 80 l min Maximum outlet flow At least 150 l min at a dynamic supply pressure of 4 5 bar and addition of ambient air With volume controlled ventilation the outlet flow is limited to 100 l min Respiratory time ratio Adjustable between 4 1 and 1 4 Respiratory rate 3 60 min Inspiration time min 0 2 5 200 ms max 59 s Tidal volume 50 2000 ml 3 60 mbar Ventilation pressure With pressure controlled ventilation modes pressure control via proportional valve With volume controlled ventilation modes pressure limitation to Pmax Pressure support A pASB 0 30 mbar Mechanical safety valve Pressure limitation to 100 mbar max PEEP 0 30 mbar pressure control via proportional valve Trigger Flow trigger recording of the flow value via internal flow sensor 96 Technical Data MEDUMAT Transport Trigger sensitivity with assisted ventilation flow trigger Inspiration trigger Expiration trigger 1 15 l min 5 50 of the inspiratory maximal flow Tolerances for respiratory i 5 time ratio Tolerances for ventilation sai 1 min rate Tolerances for tidal 20 mlor 15 volume Tolerances for ventilation 3 mbar or 10 pressure Tolerances for flow measurement 15 monitoring Tolerances for volume mea
6. in 17 s Press one of the emergency buttons Infant Child New patient Adult The unit immediately begins ventilation with preset parameters Emergency Adult Functionicheck Do not make any selection after 20 seconds the Start menu will disappear The unit begins ventilation in the mode that was last selected and with the parameters last set Operation 31 Press the Last patient button The unit immediately begins ventilation in the last mode selected Press the New patient button Then select the Adult Infant or Child setting The Mode Bev potion menu appears Select the appropriate ventilation ae mode and confirm your selection Use the control Infant knobs to set the parameters for ventilating the patient Then select Start ventilation with the context dependent buttons if you are ready to start ventilation or select Back if you wish to change the settings Select the Functional check menu and the unit will begin the automatic functional check see 8 4 Automatic function check on page 77 5 When the self test has finished and the ventilation mode has been set connect the patient 6 During ventilation make any necessary changes to the ventilation values as described later in this section 32 Operation 5 3 Navigating in menus The vast majority of functions of the MEDUMAT Transport are accessed via menus
7. Recharge battery Unusually high oxygen consumption MEDUMAT Transport cannot be switched off Leak in the oxygen feed line Operating errors Locate and rectify leaks 8 2 page 75 Hold down button for at least 2 seconds Charging indicator glows red when status button is pressed Battery does not respond when status button is pressed Unit running time with battery operation too short Short circuit Rectify short circuit and wait one minute then press the status button again Battery defective Use replacement battery and have defective battery repaired Battery temperature outside the permitted range permitted range for charging 5 C 45 C Battery has run down completely and has shut down to prevent exhaustive discharge Battery has reached end of its service life Charge battery within permitted temperature range Move battery to cooler or warmer ambient temperature as appropriate Recharge battery Use a new battery 80 Troubleshooting 9 2 Physiologic alarms Message Alarm Cause Rectification a Check state of patient Vte T hA REE EAUS Check the limit value settings for gnp y plausibility J Vte low Lower limit value not heals s o paleni Vte hiah priori sachad Check the limit value settings for gnp y pl
8. e Control knob 1 CPAP e Control knob 2 No function e Control knob 3 Vte 4 alarm limit e Control knob 4 No function e Navigation knob No function You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 No function e Button 3 A pASB You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 Operation 39 BILEVEL BILEVEL Positive airway pressure during inspiration and expiration 09 47 Ti 245 EM BILEVEL mode is used for pressure controlled ventilation ml combined with free spontaneous respiraton during the entire breathing cycle and for adjustable pressure support at PEEP level j This mode is used on patients who have no spontaneous respiration or on spontaneously breathing patients prior to extubation This mode can also be used for weaning by gradually reducing the mandatory part of the total minute volume MV and reduction of the support pressure ASB You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pinsp e Control knob 3 Vie J alarm limit e Control knob 4 Respiratory rate e Navigation knob I E or T at a respiratory rate lt 6 min You can set the following parameters using the
9. For navigating in menus and confirming your set tings on the unit During ventilation this knob is to set the I E ratio 10 Context dependent control knobs For setting various parameters depending on which ventilation mode is active Settings made here must be confirmed with the Navigation knob 11 Function buttons for emergency ventilation These buttons start emergency ventilation By pressing the buttons preset parameters for infants children or adults are activated Overview 5 Display of MEDUMAT Transport 8 Indicator for inspiratory 9 Info field O concentration FiO gt 7 Battery charge status 6 Numeric mea surement display 1 Battery Line operation indicators 10Mode 2 Function 5 Function indica or for context indicator for context dependent dependent func ion buttons 4 Function indica or for context dependent con rol knobs 3 Ventilation progress display function buttons 1 Battery Line operation indicators ndicates whether the unit is being operated with he external power supply unit upper LED or with the internal battery lower LED 2 Function indicator for context dependent function buttons The currently available function of the context dependent function buttons is indicated here 3 Ventilation progress display Here the ventilation progress is displayed in up to three graphs ventilation pressure ventilation flow CO conc
10. Replace patient hose attach it slipped off correctl Airway pressure L high priority dat y E Tube wrongly Check position of tube and positioned correct if necessary Hbseelgaked Check position of hoses and correct if necessary Uppeniimair value Check state of patient exceeded Airway obstruction Check state of patient i ey Tube wrongly we Airway pressure T high priority j itioned Position tube correctly Pmax set tool low Correct Pmax Hoses kinked Check position of hoses and correct if necessary 9 3 System alarms Message Alarm Cause Rectification CO occlusion medium priority Suction filter or removal hose blocked Change suction filter on measurement hose sys replace complete meas hose system em or urement CO module defective Continue ventilation w ithout CO3 volume 1 E Gas supply inadequate CO module defective low priority no communication or measurement have unit repaired no plausible data as quickly as possible CO module not CO temperature ready for Temperature in the unit Continue ventilation without CO gt range not reached operation below 0 C measurement low priority Implausible settings Flow not achievable llow priority respiratory rate tidal Provide adequate gas supply adjust ventilation parameters 82 Troubleshooting Message Alarm Cause Rectification Check BiCheck flow se
11. 15 l min in 1 liter steps 5 50 of the maximum flow Expiration in 5 steps Configuring the unit 65 6 5 Night colors display mode CMetCO2 vor i 4 0 PEEP mbar 66 Configuring the unit To ensure optimal legibility in night time use you can activate the Night colors display mode In this mode the display has a black background to prevent glare To activate the Night colors display mode proceed as I follows a Press the function button for Main menu to call up the main menu 2 Select Night colors in the menu 3 Press the navigation knob or the Bj button to activate the Night colors display mode To deactivate the mode press the navigation knob or the f button again To exit the menu select Back and confirm your selection 6 6 Setting the display brightness and the volume In the Audio Video menu you can set the display brightness separately for day and night colors You can also set the alarm volume Proceed as follows Setting the brightness 09 37 Ti 2 1s P mbar Audio Video Brightness Day 50 Brightness Night 50 Volume 80 back p mbar Audio Video Brightness Day 50 Brightness Night 50 Volume 80 back 12 bby byt 4 6 B 10 ee eo Press the function button for Main menu to call up the main menu Select Audio Video in the menu and confirm your s
12. Flow l min 3 Select Date time and confirm your selection 4 Set the year month date hour minute and confirm your selection 5 To exit the menu select Back and confirm your selection Note The date and time are also used for the unit s internal operations Therefore they should both be checked regularly and corrected if necessary 68 Configuring the unit Selecting the display language 09 34 Ti 21s p mbar o e back Flow Ifin a Date time o Language C Device data Device data 1 software version EmbPC r2045 2008 02 05 1 Power up time h m s back Press the function button for Main menu to call up the main menu Select Options in the menu and confirm your selection Select Language and confirm your selection Select the language you require in the Language menu and confirm your selection To exit the menu select Back and confirm your selection Press the function button for Main menu to call up the main menu Select Options in the menu and confirm your selection 3 Select Device data and confirm your selection 4 To exit the menu select Back and confirm your selection Configuring the unit 69 7 Hygienic preparation The MEDUMAT Transport and the accessories used must be hygienically prepared after each use Ple
13. non condensing 54 kPa to 110 kPa Note If the unit is operated outside the specified pressure range the measurement tolerances and unit tolerances will be exceeded 30 C to 70 C 0 to 95 non condensing Power supply 12V 15V DC Max current consumption Imin 0 5 A Imax 3 5 A Classification acc to EN 60601 1 Type of protection against elec shock Degree of protection against elec shock Degree of protection against water Protection class Il Type BF IP X4 Electromagnetic compatibility EMC as per EN 60601 1 2 Radio interference suppression Radio interference immunity EN 55011 RTCA DO 160E EN61000 4 Parts 2 to 6 and 11 RTCA DO160E Standards satisfied EN60601 1 EN794 3 DIN ISO 10651 3 EN 1789 RTCA DO 160E Technical Data 95 MEDUMAT Transport 7 TFT color display Display Resolution 800 x 480 pixels Brightness 350 cd m Control Time and trigger operated pressure controlled or volume controlled Ventilation modes Volume controlled Pressure controlled SVV SIMV IPPV S IPPV SPV PCV BlLevel CPAP ASB Preoxygenation 5 25 I min in 5 liter steps Tolerance of preoxygenation flow 2 l min or 20 Operating gases Medical oxygen Operating pressure range 2 7 to 6 0 bar Required gas supply Recommended gas supply dyn supply pressure drawn flow Non recommended supply
14. pressure limitation An alarm is triggered when this pressure limit is reached It is then no longer guaranteed that the set tidal volume is actually released to the patient In this event check the patient s condition and if necessary reset the ventilation parameters SVV SVV Smart Volume Ventilation SVV mode is used for volume controlled ventilation with a fixed tidal volume Duel e SS T gaa This mode offers maximum flexibility By selecting suitable acai parameters all other volume controlled ventilation modes that are integrated in MEDUMAT Transport can be Peer On z Pompes TAE implemented You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pmax pressure limitation e Control knob 3 V e Control knob 4 Respiratory rate e Navigation knob I E or T at a respiratory rate lt 6 min You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 Activate deactivate trigger e Button 3 A pASB You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 42 Operation IPPV IPPV Intermittent Positive Pressure Ventilation I IPPV mode is used for mandatory volume controlled ventilation with a fixed tidal vo
15. MEDUMAT Transport offers two methods of navigating in these menus e using the navigation knob e using the context dependent function buttons on the right of the display Menus can be closed at any time by pressing the Menu button again If no parameters are changed the menus close automatically after 20 seconds Parameter changes will not be implemented unless they are confirmed with the navigation knob or context dependent button Bl Navigating with the navigation knob 1 Select a menu using the function buttons here Alarm limits 2 Select a menu item by turning the navigation knob clockwise the selection bar moves downwards or counterclockwise the navigation bar moves upwards 3 Confirm your selection by pressing the navigation knob 4 To leave a menu select the menu item Back using the navigation knob and confirm your selection by pressing the navigation knob Proceed in the same way when making numeric settings here Alarm limits Navigation knob Turn the navigation knob clockwise to raise the value and counterclockwise to lower it Press the navigation knob to confirm the newly set value 5 To switch from a sub menu direct to the ventilation screen press the function button for Main menu again Operation 33 Navigating with the context dependent function buttons 3 19 Ti 24s SPV Main menu Automatic alarm limits Alarm Limits Curves Advanced ventilation pa
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17. and the testing bag Switch the unit off and then on again Repeat the function check If the fault reoccurs have the unit repaired by WEINMANN or an authorized dealer Testing the sensors and actuators 1 Start the function check by selecting Function check in the menu 78 The automatic function check now runs This takes approximately one minute The unit tests the sensors and actuators While this is happening you can start testing the controls see Testing the controls on page 79 Do not touch move the test bag or Patient Hose System The test bag is filled and emptied according to a specific pattern during testing so if it is touched or moved the results of the function check could be falsified Note This check ensures that physiological alarms are correctly triggered in the event of a malfunction during patient ventilation Function check Testing the controls Function check active While the sensors actuators are being tested the function EIES IPERE X buttons and control knobs are shown in red on the display To check that these controls function correctly proceed as follows Do not use On Off button During the automatic test 1 Press each of the controls on the unit Do not press the controls on the screen as described in section 5 Operation in this manual A control is functioning correctly if the corresponding control on the screen is shown in green If a co
18. are changed using the control knobs the corresponding parameters and the above the navigation button will flash for 5 seconds Changed parameters that are not confirmed within 5 seconds by the navigation button or the context dependent button f will not be applied 30 Operation 5 2 Switching the unit on Self test 1 Slowly open the valve on the oxygen cylinder The con tents gauge now indicates the cylinder pressure 2 Calculate the remaining operating time see 5 14 Cal culating the oxygen level operating time on page 53 You should change the cylinder in good time e g when the pressure falls below 50 bar to ensure a suffi ciently long operating time 3 To switch on MEDUMAT Transport press the On Standby Off button An automatic self test runs During the self test the alarm LED lights up briefly The buzzer gives a series of five signals and then the loudspeaker gives two acoustic signals If the self test is not successful the Fault message appears in the display The unit cannot then be operated On Standby Off button Caution The automatic self test is not a substitute for the functional check Before using the unit always carry out a functional check as described in Section 8 Function check on page 74 That is the only way to ensure that the unit is fully functional The Start menu appears on the display You now marae pevitant have the following options
19. battery inserted Insert battery in unit Battery defective Replace battery Battery almost empty A further 10 min utes operation is possible medium priority Low battery Use replacement battery Fault when unit is started high priority Unit defective Have unit repaired Fault during cylinder Fault during the l battery change when high priority rutomatic function Disconnect the patient restart the patient is connected check unit repeat the function check Troubleshooting 83 Message Alarm Cause Rectification Unit temperture too low Unit temperature high Unit too cold high priority low priority Unit s internal temperature lt 20 C Unit switches off after 10 minutes if it is not warmed up to above Unit s internal temperature gt 65 C Move unit to a warmer environment 20 C within this time Move unit to a cooler environment If necessary switch unit off to accelerate cooling Unit temperature critical high priority Unit temperature gt 75 C Unit switches off after 10 minutes or if its internal temperature rises above 82 C Move unit to a cooler environment If necessary switch unit off to accelerate cooling 84 Troubleshooting 10 Maintenance 10 1 MEDUMAT Transport Note Remember to always have a safety check carried out after maintenance and repair work ME
20. follows 1 First select the Mode menu using the Mode Mode function button T 2 Select the ventilation mode you require using the navi gation knob or the context dependent function but a tons on the right of the display If necessary you can TE additionally activate the NIV function __ Pre oxygenation 3 Confirm your selection by pressing the navigation knob or the corresponding context dependent function button back Note In combined ventilation modes breaths can be triggered by the patient within a time slot of 20 depending on the rate or 100 S IPPV mode before the mandatory breath is initiated 36 Operation NIV NIV Non Invasive Ventilation mask ventilation This additional function can be activated in all the ventilation modes The leakage alarm is deactivated The unit uses optimised trigger points for the NIV mode Caution If the NIV function is not activated during ventilation with leakages the unit can only be triggered by the patient by greatly increased respiratory efforts This may endanger the success of treatment In certain circumstances the required O concentration may not be achieved during ventilation with leakages This is for technical reasons and is not a malfunction When the NIV mode is activated the alarm limit is therefore automatically set to 20 Preoxygenation 1 Call up the Mode menu by pressing the correspond ing function button 2 Se
21. from the patient s respiratory gas 3 Connector The measurement tube system is connected to MEDU 4 PEEP control tube With this tube MEDUMAT Transport controls the patient valve and the PEEP 5 BiCheck flow sensor connection line This electric lead transfers the measuring signals from the BiCheck flow sensor to the MEDUMAT Transport 6 BiCheck flow sensor This sensor supplies monitoring data on flow MVo Vte and f Note 8 Patient valve AT Transport by means of this connector 4 PEEP control tube 5 BiCheck flow sensor connection line 6 BiCheck flow sensor 7 Elbow The mask tube is connected here The elbow is re movable i e the mask tube can also be con nected to the BiCheck flow sensor itself depending on the position of the patient 8 Patient valve Switchover between inspiration and expiration happens here 9 CO removal tube Test gas is removed via this tube if your unit is equipped with the optional CO measurement facility 10 Pressure measurement tube For patient side measurement of ventilation pressure 11 Tube protection sleeve Protects tubes and leads against soiling and damage Detailed information about the hose systems can be found in the Patient Hose System instruction manual WM 66696 Overview 7 MEDUMAT Transport Main menu Main menu Automatic alarm limits Curves Only CO measurement option Advanced ventilation parameters Audio Video A
22. respiration or for weaning patients by gradually reduc ing the mandatory part of the total minute volume You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pmax pressure limitation e Control knob 3 Vi e Control knob 4 Respiratory rate e Navigation knob I E You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 No function e Button 3 No function You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 Operation 45 5 8 Other ventilation functions The ventilation functions Oz concentration and 100 O are available for all the ventilation modes You can call up and set these functions at any time using the fixed assignment function buttons on the right of the display Warning Risk of poisoning Highly concentrated oxygen can have a toxic effect on the patient if administered for too long and depending on the patient s age When ventilating with pure oxygen or an oxygen air mixture make sure that oxygen is only adminis tered for an appropriate period Setting the O concentration To save oxygen ventilation is normally carried out with an oxygen air mixture The admin istered oxygen concentration can be sel
23. 5 x WM 28331 WM 15473 BiCheck flow sensor 5 pcs WM 15685 Test bag for Medumat with triggering WM 1454 CPAP NIV disposable masks a WM 20703 Children Size S with retaining ring for headgear ce aes WM 20704 Adult Size M with retaining ring for headgear aan an WM 20705 Large adult Size L with retaining ring for headgear Set of 25 CPAP NIV disposable masks for children WM 15831 size S with retaining ring for headgear H Set of 25 CPAP NIV disposable masks for adults WM 15832 size M with retaining ring for headgear H Set of 25 CPAP NIV disposable masks for large WM 15833 adults size L with retaining ring for headgear 7 Set of 50 CPAP NIV disposable masks for children WM 15834 size S with retaining ring for headgear H Set of 50 CPAP NIV disposable masks for adults WM 15835 size M with retaining ring for headgear Set of 50 CPAP NIV disposable masks for large WM 15836 adults size L with retaining ring for headgear Headgear for CPAP NIV masks WM 20702 94 Product accessories 12 Technical Data 12 1 Specifications MEDUMAT Transport Product class according to 93 42 EEC IIb Dimensions WxHxD 345 x 163 x 149 mm Weight approx 4 4 kg approx 4 6 kg with etCO measurement Operation Temperature range Humidity Air pressure Storage Temperature range Humidity 18 C to 50 C Battery charging 5 C to 45 C 15 to 95
24. B Trigger Confirmation Only Selection Confirmation LE and BILEVEL PEEP Pinsp Vermin Freq Selection A pASB Trigger Confirmation LE and PCV PEEP Pinsp Vimini Freq Selection Confirmation LE and IPPV PEEP Pmax Vi Freq Selection Confirmation LE and S IPPV PEEP Pmax Vt Freq Selection Confirmation LE and SIMV PEEP Dina Vi Freq Selection Confirmation CPAP ASB CPAP Vinin ApASB Overview 11 Symbols used on the unit Battery MEDUMAT Transport 1 MEDUMAT Transport type plate 5 Cover of USB interface 4 Filter compart ment cover 3 Rechargeable 2 STK and service label battery type plate Symbol Meaning MEDUMAT Transport type plate 1 Year manufactured 1 5 Type BF device 1 Sd Do not dispose of the unit in the household waste 2 Service label indicates when the next service is required 2 STK label only in the Federal Republic of Germany indicates when the next safety check in accordance with 6 Medical Device Operator Ordinance MPBetreibV is required 1 4 5 Observe the information in the instruction manual 12 Overview Symbol Meaning Rechargeable battery type plate 3 i Do not dispose of the unit in the household waste 3 amp Do not subject the unit to hard knocks or shocks 3 GS Do not op
25. CO measurement with BiCheck flow sensor WM 28483 Measurement hose system without CO3 measurement without BiCheck flow sensor WM 28685 Set of disposable hose systems with CO3 measurement without BiCheck flow sensor 10 x WM 28690 WM 15837 Set of disposable hose systems with CO3 measurement without BiCheck flow sensor 25 x WM 28690 WM 15838 Set of disposable hose systems with CO3 measurement without BiCheck flow sensor 50 x WM 28690 WM 15839 Set of disposable hose systems without CO3 measurement without BiCheck flow sensor 10 x WM 28695 WM 15840 Set of disposable hose systems without CO3 measurement without BiCheck flow sensor 25 x WM 28695 WM 15841 Set of disposable hose systems without CO gt measurement without BiCheck flow sensor 50 x WM 28695 WM 15842 Set of disposable components without CO gt measurement 10 x WM 28657 WM 15754 Set of disposable components without CO gt measurement 25 x WM 28657 Set of disposable components without CO gt measurement 50 x WM 28657 WM 15755 WM 15756 Set of measurement hose systems without CO measurement 10 x WM 28685 92 Product accessories WM 15751 Parts Order number Set of measurement hose systems without CO3 measurement 25 x WM 28685 WM Te Set of measurement hose systems without CO3 measurement 50 x WM 28685 KVMS 733 Set of dispos
26. DUMAT Transport must be serviced at regular intervals We recommend that maintenance work such as inspections and repairs should be carried out by the manufacturer WEINMANN or by a technician expressly authorized by WEINMANN Every 6 months e Change the suction filter see 10 4 Changing the suction filter on page 87 Every 2 years Every 2 years you must have the cleaned and disinfected ventilator and the cleaned and disinfected reusable hose system subjected to a safety check in accordance with 6 Medical Device Operator Ordinance MPBetreibV only in the Federal Republic of Germany in conjunction with servicing by the manufacturer or by a technician expressly authorized by the manufacturer e Check that the equipment is complete e Visual inspection mechanical damage labeling of the controls all external hoses to check for damage e Check the batteries e Change wearing parts e g dust filter e Check system components portable system oxygen fittings hose connections etc e Check the test bag e Final inspection according to Inspection and Test Instruction WM 28590 Maintenance 85 Every 4 years e Servicing of the oxygen fittings e g pressure reducer by the manufacturer or by a technician expressly authorized by the manufacturer e Change wearing parts filter screens Every 6 years e Change wearing parts in the unit button cell and wearing parts in the valve seals Every 10 years e Repea
27. EL and CPAP ASB modes e Navigating in a menu Button 1 Up Button 2 Down Button 3 Confirm your selection Alternatively these settings can also be made with the navigation knob Dual Navigation e Setting a parameter Button 1 Increase value Button 2 Decrease value Button 3 Confirm your selection Alternatively these settings can also be made with the navigation knob Dual Navigation Operation 29 Navigation knob When a menu is open you can navigate using the navigation knob as follows e Turn counterclockwise to move the selection bar upwards in the menu e Turn clockwise to move the selection bar downwards in the menu aati e Press navigation knob to confirm r selection Navigation knob g you When no menu is open you can carry out the following functions e Confirm setting parameters that have been set with the context dependent control knobs e Set and confirm the I E ratio Context dependent control knobs 40o Depending on the ventilation mode selected you can set the following parameters using the control knobs e Control knob 1 PEEP CPAP e Control knob 2 Pmax alarm limit Pinsp In some 1 2 3 4 5 ventilation modes this knob has no function e Control knob 3 Vi Vie J alarm limit e Control knob 4 Respiratory rate no function in some modes e Navigation knob 5 I E no function in some modes If the ventilation parameters
28. MEDUMAT Transport MEDUMAT Transport Emergency ventilator MEDUMAT Transport with CO measurement WM 28400 MEDUMAT Transport without CO measurement WM 28300 Description and Operating Instructions WEINMANN medical technology Contents 1 Overview 0000 2 Description 2 1 Intended use 2 2 Applications 2 3 User qualification 24t FUNCION i ae eat kaa Sedans 2 3 Installation 3 1 Connecting oxygen cylinder 3 2 HOSS SYSTEM n eae ae ee 3 3 Accessories from other manufacturers 0 3 4 Permanent installation of the unit 4 Safety information 5 Operation 5A COMTAS eSa sets bh A haces 5 2 Switching the unit on Self test 5 3 Navigating in menus 5 4 Emergency modes 5 5 Selecting a ventilation mode 5 6 Pressure controlled ventilation MOESA reses gahn ach d ne ei 5 7 Volume controlled ventilation MOGES oasen ur teens 2 than 5 8 Other ventilation functions 5 9 Performing ventilation 5 10 Monitoring ventilation 5 11 Alarm signals 5 12 Ventilation with filters not supplied with the unit 5 13 Ending ventilation 5 14 Calculating the oxygen level operating time 5 15 Alternative ventilation 5 16 Changing battery during use 5 17 Battery management
29. O3 Ventilation pressure flow CO3 To select a presentation version proceed as follows 1 Press the function button for Main menu to call up the main menu 2 Select Curves in the menu 09 40 Ti 21s p mbar i eE Fress nares 3 Select the presentation version you require and confirm To your selection Pressure flow CO2 4 To exit the menu select Back and confirm your selection A Flow l min On units without etCO measurement the display shows respiratory pressure and flow as graphs No other settings are possible 62 Configuring the unit 6 4 Setting advanced respiratory parameters To achieve optimal results during transport ventilation you can make settings in the Advanced ventilation parameters menu depending on the selected mode The non selectable functions in a particular ventilation mode are shown in grey letters Setting the pressure ramp 09 48 Ti 21s Eyam With this function you can set how fast the inspiratory acre Tas ferme ventilation pressure is reached The following rise times are J FI acer O Flv i l corean e Flat ramp slow pressure rise J Trigger thresholds 1 Inspiration 3 Imin coz Expiration 30 Flow max e Medium ramp medium pressure rise back e Steep ramp fast pressure rise Note How quickly the set pressure is actually reached depends on the patient any leakage NIV and the ventilating param
30. Reusable hose system Disposable hose system 29 ml with elbow 41 ml 25 ml with elbow 34 ml 0 79 ml hPa ml cmH0 0 90 ml hPa ml cmH20 Internal volume of the complete respiratory system Reusable hose system Disposable hose system approx 586 ml approx 586 ml CE 0197 o3 5246 98 Technical Data Subject to alterations in design All the measurements flow volumes minute volume relate to ambient temperture and ambient air pressure unless stated otherwise 1bar 100kPa This unit s software contains code which is subject to the GPL You will receive the source code and the GPL upon request 12 2 Block diagram Pressure sensors Patient 1 Pressure gas Pressure Internal flow pet a Piti BiCheck Optional and Oz sensor pried flow channel HME filter Ambient air 7 Injector Air filter inlet Optional etCO sensor 12 3 Separation distances Recommended separation distances between portable and mobile RF telecommunication devices e g cellular phone and MEDUMAT Transport The MEDUMAT Transport is intended for use in an electromagnetic environment in which the RF interference is controlled The customer or user of the MEDUMAT Transport can help to avoid electromagnetic interference by observing the minimum distance between portable and mobile RF telecommunication devices transmitters and the MEDUMAT Transport as recommended below according to the trans
31. Super Clean at 65 C as heated In hot water with a l Immersion instructed in the steam ster BiCheck flow sensor mild household 28 1 wh Sy i disinfection disinfector manual ilization at detergent Dry thoroughly up to 134 C Reusable patient valve Super ae s heated Reusable ventilation In hot water with a Immerse in 6 Wahina tdeunta steam eak mask mild household GIGASEPT FF OP y P a 1 95 C ilization at detergent solution Reusable ventilation hose uR to 134 C Reusable tube protection Wipe down with a 30 C washing Possible during the Not cycle without sleeve moist cloth NA washing cycle permitted spinning ae With a dry or moist ss Not Oxygen fittings cloth Wipe disinfection Not permitted permitted 72 1 After d water and leave them to dry 2 Thermal disinfection in a washer 3 Superheated steam sterilization at 134 C with devices which comply with EN 285 holding time up to 18 minutes Hygienic preparation isinfection rinse the parts thoroughly with distilled Disposable components Thermo Steriliza Parts Cleanin Disinfection YA g disinfector tion Measurement hose system comprising PEEP control line Pressure measurement tube CO removal tube These are disposable parts and must not be reused Use new parts instead Connector Water filter Dispoable Patient Hose System Hygienic pre
32. With volume controlled ventilation the ventilation pressure rises until the set pressure limit is reached while the ventilation volume remains constant Then the applied volume drops e With pressure contolled ventilation the applied volume drops while the pressure remains constant Example of ventilation progression before and after decrease in compliance during volume controlled ventilation mbar 30 TAAA d All the displayed measurements for flow volume or MV relate to ambient temperture and ambient air pressure Operation 49 Displayed measurements During ventilation the following parameters are shown on the display as numbers p mbar Vie expiratory tidal volume f fsp respiratory rate number of spontaneous MVe timin go Fovam breaths per minute MV expiratory minute volume etCO2 Vom etCOz end tidal CO concentration only with units equipped with optional CO measurement Obi inspiratory O concentration delivered by the unit Ventilation pressure flow If you have a unit equipped with CO measurement you can display up to three graphs The following presentaion versions are possible Ventilation pressure flow Ventilation pressure CO gt 6 12 y 2 ry ry 40 Flow l min 100 A A A 0 100 00 6 8 10 o x CO2 vol Ventilation pressure flow CO3 12 50 Ope
33. able components with CO3 measurement with BiCheck flow sensor WM 15766 10 x WM 28483 Set of disposable components with CO gt measurement with BiCheck flow sensor WM 15767 25 x WM 28483 Set of disposable components with CO gt measurement with BiCheck flow sensor WM 15768 50 x WM 28483 11 3 Replacement parts Parts Order number Seal for pressure hose WM 1145 31 Ventilation mask size 5 for adults WM 5074 Set of CPAP NIV disposable masks with air cushion 1 x CPAP NIV disposable mask in each of the sizes S M L with retaining ring for headgear NE TASU 1 x headgear Rechargeable battery WM 28384 Reusable patient hose system complete WM 28425 Disposable patient hose system complete WM 28435 Set of disposable components preconnected for WM 15766 disposable patient hose system 10 pcs Set of disposable components preconnected for disposable patient hose system 25 pcs Wil LoG Set of disposable components preconnected for disposable patient hose system 50 pcs nS roA Product accessories 93 Parts Order number Disposable measurement hose system WM 28595 Disposable measurement hose system 10 pcs WM 15771 Disposable measurement hose system 25 pcs WM 15772 Disposable measurement hose system 50 pcs WM 15773 Water filter 5 pcs WM 97011 Protection sleeve for ventilation hose WM 28585 Set of suction filters
34. ase refer to the instructions supplied with the disinfectant used We recom mend using GIGASEPT FF for immersion disinfection and TERRALIN for wipe disinfection Always carry out a functional check after the hygienic preparation see 8 Function check on page 74 7 1 MEDUMAT Transport MEDUMAT Transport and the BiCheck flow sensor lead should be kept clean by simple wipe disinfection Please refer to the instructions supplied with the disinfectant used We recommend using TERRALIN for wipe disinfection Warning Never immerse the MEDUMAT Transport or the BiCheck flow sensor lead in disinfectant or other liquids Otherwise the unit may be damaged causing a hazard to users and patients 7 2 Hose systems The measuring components connector PEEP control lead pressure measurement tube CO removal tube with water filter of the reusable hose system cannot be reused For preparing the other components follow the operating instructions supplied with the hose systems 70 Hygienic preparation 7 3 Parts and accessories Masks and all silicone parts must be cleaned in a disinfectant solution 1 All surfaces must be wetted free of bubbles inside and outside Allow the disinfectant to act for the full time specified by the manufacturer 2 After disinfection rinse the parts thoroughly with distilled water to avoid residues of the disinfectant solution causing problems 3 Leave all silicone parts to dry in the ai
35. ausibility te 52 Check state of patient MVet ve high Upperlimityalue Check the limit value settings for high priority exceeded Paes plausibility Ve low Lower limit value not check sta E of patint MV hiah br n reached Check the limit value settings for gnp y plausibility H pervenlatisn Check state of patient AF T aan Hise Limit value exceeded Check the limit value settings for p y plausibility pees Check state of patient Apnea a iei Limit value exceeded Check the limit value settings for gnp y plausibility leak Check hose system and tube with Patient side leak Hien oioi Vte less than 60 Vy mask ventilation activate NIV gP y mode R Check state of patient etCO gt il ges on ae Check the limit value settings for gnp y plausibility ar Check state of patient etCOz eee as value not Check the limit value set ings for gnp y plausibility Tor 2 28 Check the patient valve COdi T a ka PA as Check the calibration of the CO3 gP y module T _ Insufficient ambient air Check parameter setting O2 medium priority j in the respiratory gas Change suction filter O4 high priority Insufficient O supply Leak when NIV option is deactivated Use medical O supply Activate NIV option thereby limiting FiO to 20 Troubleshooting 81 Message Alarm Cause Rectification Lower limitwalue not Check state of patient reached Patient hose leaking
36. context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 Activate deactivate trigger e Button 3 A pASB You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 40 Operation PCV PCV Pressure Controlled Ventilation 5 PCV mode is used for mandatory pressure controlled ventilation with fixed pressure levels o ro This mode is used on patients who have no spontaneous 10 0 38 ste cme st ty ty a respiration a cons 0 e 5 4 2 You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pinsp e Control knob 3 Vie 4 alarm limit e Control knob 4 Respiratory rate e Navigation knob I E or T at a respiratory rate lt 6 min You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 No function e Button 3 No function You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 Operation 41 5 7 Volume controlled ventilation modes Caution In the volume controlled modes the ventilation pressure is limited to Pmax
37. cylinder indicates 0 Then switch MEDUMAT Transport off again Caution The screwed unions of the oxygen lines must only be tightened by hand If there is a leak change the defective parts 5 Then check for leaks again 76 If the leak cannot be rectified the unit must be repaired Function check 8 3 Checking the patient valve only reusable hose system Caution e Also observe the Functional control section in the instruction manual of the Patient Hose System WM 66696 e Never use torn wavy distorted or sticky diaphragms for ventilation Otherwise considerable malfunctions are to be expected e When assembling the patient valve it is essential to make sure that the diaphragm is correctly positioned and the right way up the letters TOP on the PEEP control diaphragm must face upwards Otherwise the patient valve may malfunction putting the patient at risk 1 1 Pull all the tubes and cables off the patient valve 2 Dismantle the patient valve 2 1 Control cover 10 2 PEEP control diaphragm 3 elo a We 3 Main body of the patient valve ira 4 Check valve diaphragm 5 Holder for the check valve diaphragm 3 Visually inspect all parts for cracks or other mechanical damage 4 Change any diaphragms that are torn wavy distorted or sticky 5 Reassemble the patient valve 8 4 Automatic function check MEDUMAT Transport has an auto
38. d PEEP Ombarfpinsp 30mb Frea 10min E 1 1 9 You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pinsp e Control knob 3 Vie J alarm limit e Control knob 4 Respiratory rate e Navigation knob I E or T at a breathing rate lt 6 min e You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 Activate deactivate trigger e Button 3 A pASB You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 38 Operation CPAP ASB CPAP Continuous Positive Airway Pressure ASB Assisted Spontaneous Breathing CPAP mode is used to increase the pressure level of Bae respiration in order to raise the functional residual capacity 483 ne o AAAA FRC 20 20 7 MVe min go F10 Vmin 4 t b b k ne ASB mode is used for pressure support of insufficient tl he MS spontaneous respiration The patient is able to breathe es SR es spontaneously without any restriction but is supported in his breathing effort by the MEDUMAT Transport AL mbar The CPAP ASB mode is used exclusively on patients with adequate spontaneous respira tion You can set the following ventilation values using the control knobs
39. d 5 Filter compartment cover air inlet Covers the filter and ensures it is securely positioned 4 Overview Controls of MEDUMAT Transport 11Function buttons for emergency ventilation 10 Context dependent control knobs 9 Navigation knob 1 Context dependent function button 2 Alarm mute button with LED 3 Context dependent function button 4 Function button for main menu 5 Context dependent function button 6 Function button for 100 O 7 Function button for inspiratory Oz concentration 8 On Standby Off button 1 3 5 Context dependent function button These buttons are used to set various ventilation parameters depending on the ventilation mode selected 2 Alarm mute button with LED With this button acoustic alarms can be muted briefly for 2 minutes If alarms are muted the LED lights up Visual alarms are still displayed 4 Function button for main menu This button calls up the main menu 6 Function button for 100 0 This button calls up the 100 Oz function to ven tilate the patient briefly 2 minutes with 100 O FiO 1 0 7 Function button for inspiratory 0 concentration This button calls up the O concentration menu The required inspiratory O concentration in the respiratory gas can be set in this menu 8 On Standby Off button A short press switches the unit on and off A long press switches it off completely 9 Navigation knob
40. ected between 40 and 100 The currently mea sured value is shown in the top info field on the display If you switch from oxygen air mixture 40 O gt to pure oxygen 100 O the respiratory minute volume changes within the preset tolerances see 12 Technical Data on page 95 at the most To set the O concentration proceed as follows 1 Call up the O concentration menu using the FiO button 2 Select O concentration in the menu and confirm your selection f Odi 100 i onc l 7 E Fi g F 40 3 Select the required O concentration using the navigation knob or the function buttons 4 Press the Bij button or the navigation knob to confirm your selection 46 Operation 100 O function To raise the oxygen concentration to 100 for a maximum of two minutes you can use the 100 O function 1 Press the 100 O2 button to confirm the function The message 100 O appears on the display 2 Press the 100 O gt button again to end the function Ventilation is continued with the originally set O con centration The function is ended automatically after 100 Ozi two minutes a Operation 47 5 9 Performing ventilation Tube As a rule the patient is intubated before the tube is connected to the patient valve 1 Set the desired ventilation mode and the associated ventilation parameters 2 Attach the patient valve to the connector of the e
41. ed to this unit simultaneously Make sure that only one oxygen source is open at any given time and that there is no gas reflux Otherwise one of the oxygen sources may empty itself unnoticed Sufficient oxygen supply to the patient can then no longer be guaranteed when the unit is in use Always open the cylinder valve slowly to prevent pressure hammer on the fittings Do not empty oxygen cylinders completely as this may allow moist ambient air to enter and cause corrosion Ventilation Handling 26 Patient and emergency ventilator must be kept under continuous observation during ventilation Prolonged ventilation can lead to atrophy of the muscles dependency of the patient on ventilation Prolonged ventilation may lead to the airway drying out Ensure adequate conditioning of the respiratory air Only apply high ventilation pressures for short periods and only if medically indicated Permanently applied high ventilation pressures can be injurious to the patient Make sure that the patient valve is not covered or its function impaired e g by the patient s position Safety information Patient Hose System Warning Risk of injury Only use the Patient Hose System if you are a qualified medical professional and have received training in respiration techniques Improper use may lead to serious physical injury The Patient Hose System must be subjected to a functional check and visual inspection by the user before use F
42. election Select Brightness Day or Brightness Night and confirm your selection Select the setting you require 10 100 and confirm your selection To exit the menu select Back and confirm your selection Press the function button for Main menu to call up the main menu Select Audio Video in the menu and confirm your selection Under Volume select the setting you require 50 100 and confirm your selection To exit the menu select Back and confirm your selection Configuring the unit 67 6 7 Options CO configuration In the CO configuration menu you can select which unit of measurement the CO concentration is displayed in Proceed as follows 1 Press the function button for Main menu to call up the main menu 2 Select Options in the menu and confirm your selection 3 Select CO configuration and confirm your selection 4 Select the unit you require mmHg by vol kPa and confirm your selection 5 To exit the menu select Back and confirm your selection In the Date time menu you can set the current date and time Proceed as follows ia eae 1 Press the function button for Main menu to call up p mbar the main menu Year 2008 l I a vst ga 2 Select Options in the menu and confirm your Hour 9 selection m Minute 28 oor ens 2
43. en the unit using force 3 Q Protect the unit against heat 3 Protect the unit against moisture Labeling on the packaging Symbol Meaning MEDUMAT Transport SN Serial number of the unit K c Permissible storage temperature 30 C to 70 C 30 C RH 0 95 Permissible humidity for storage up to 95 relative humidity Overview 13 Safety information in this manual The safety instructions in this instruction manual are marked as follows Warning Warns of risk of injury and possible damage to the unit Caution Warns of material damage and possibly incorrect therapy results Note Offers useful tips 14 Overview 2 Description 2 1 Intended use The MEDUMAT Transport is an automatic oxygen emergency ventilator with additional preoxygenation and monitoring functions pressure flow and CO MEDUMAT Transport is used for controlled and assisted as well as for invasive and non invasive ventilation of persons with a respiratory volume of 50 ml upwards MEDUMAT Transport must only be operated when installed permanently or on approved portable systems 2 2 Applications MEDUMAT Transport can be used in the following cases Emergency e for resuscitation at the place of the emergency e for longer tem use in continuing emergency situations e for preoxygenation via a ventilation mask Transport e in ground sea and air emergency medical service e between hospital ro
44. enables the patient to initiate a new breath The patient is thus able to increase the respiratory rate and therefore the minute volume MV and to adapt them to his her requirement This mode is used on patients who have inadequate spontaneous respiration You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pmax pressure limitation e Control knob 3 Vy e Control knob 4 Respiratory rate e Navigation knob I E or T at a respiratory rate lt 6 min You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 No function e Button 3 No function You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 44 Operation SIMV SIMV Synchronized Intermittent Mandatory Ventilation SIMV mode is used for volume controlled ventilation with a fixed mandatory minute volume MV Between the mandatory mechanical breaths the patient t MVe min 100 F 10 eTa can breathe spontaneously and so increase the minute volume If there is spontaneous respiration the mandatory mechanical breath is synchronized with the patient s breathing The mandatory minute volume remains unchanged This mode is used on patients with inadequate spontane ous
45. entration depending on the ven tilator version In the case of emergency ventilation a pressue gauge is displayed 4 Function indicator for context dependent control knobs The currently available function of the context dependent control knobs is indicated here 5 Function indicator for context dependent function buttons The three directly selectable emergency ventilati on modes infant child adult are indicated here 6 Numeric measurement display The current measurements are indicated numerically here 6 Overview 7 Battery charge status The battery charge status is indicated here 8 Indicator for inspiratory 02 concentration Fi02 The inspiratory O concentration FiO gt is indicated here 9 Info field Information error messages visual alarms about the state of the patient and the ventilator is dis played here The time of day is also displayed in this field 10 Mode indicator The ventilation mode set by the user is indicated here T H v0000 r M a U 0000900 Hose system reusable and disposable versions available 2 Water filter for COz measurement 3 Connector 11Tube protec tion sleeve 10Pressure measurement tube 9 CO removal tube 1 Ventilation hose The respiratory gas flows through the respiration tube to the patient valve 2 Water filter for CO measurement The water filter protects the measuring chamber of the MEDUMAT Transport against moisture
46. eters that have been set To set the pressure ramp proceed as follows 1 Press the function button for Main menu to call up the main menu 2 Select Advanced ventilation parameters in the menu and confirm your selection 3 Select Pressure ramp in the menu and confirm your selection 4 Select the level 1 3 you require and confirm your selection 5 To exit the menu select Back and confirm your selection Configuring the unit 63 Setting the flow ramp With this function you can set how fast the inspiratory LSS 21s MVE eS Vmin flow is reached The following rise times are possible pi Advanced ventilation parameters Pressure ramp Flaw ramp e Flat ramp slow flow rise z Flow decreasing e Medium ramp medium flow rise constant miera o e Steep ramp fast flow rise Expiration 0 Flow max back 1 ma A aie Note cee How quickly the set flow is actually reached depends on the patient any leakage NIV and the ventilating parameters that have been set o coz To set the flow ramp proceed as follows 1 Press the function button for Main menu to call up the main menu 2 Select Advanced ventilation parameters in the menu and confirm your selection 3 Select Flow ramp in the menu and confirm your selection 4 Select the level you require and confirm your selection 5 To exit the menu select Back and confirm your selecti
47. f the BiCheck flow sensor optionally with elbow and the tube or mask Follow the manufacturer s instructions Ventilation mask Attach the ventilation mask to the BiCheck flow sensor The mask used must have a standard connection as per ISO 5356 1 Laryngeal mask You can use a laryngeal mask instead of a ventilation mask The tube used must have a standard connection as per ISO 5356 1 Installation 21 Endotracheal tube Instead of attaching the BiCheck flow sensor to a ventilation mask you can attach it to an endotracheal tube The tube used must have a standard connection as per ISO 5356 1 Tracheostomy tube Instead of attaching the BiCheck flow sensor to a ventilation mask you can attach it to a tracheostomy tube The tube used must have a standard connection as per ISO 5356 1 Supplying oxygen to external units You can use the O inlet outlet to connect the units modules or inhalation devices to the MEDUMAT Transport quick connector on the front of the units When doing so bear in mind that the outlet gas flow reduces the efficiency of the gas supply see 11 5 Required gas supply on page 95 22 Installation 3 4 Permanent installation of the unit If you wish to install the unit on a portable system or permanently install it in a vehicle or aircraft you require the fastening set WM 15730 Back panel of MEDUMAT Transport Portable system Installation 23 4 Safety information Read this in
48. g factor for setting the limits is the respiratory values Vie MVe f and if applicable etCO 7 measured at the moment when the function is activated In the Alarm limits menu see 6 2 Setting alarm limits on page 61 you can set the size of deviation in from the current respiratory value at which an alarm is triggered To activate the Automatic alarm limits function proceed as follows 1 Press the function button for Main menu to call up the main menu 09 18 Ti 2 1s 2 Select Automatic alarm limits in the menu and confirm your selection 3 Select Yes in the menu and confirm your selection Note The values set for Alarm limits see 6 2 Setting alarm limits on page 61 are overwritten 60 Configuring the unit Automatic alarm calculation for the Apnea alarm The Apnea alarm is set depending on the percentage to 4 10 5 20 or 6 30 respiratory periods The length of a respiratory period is 60 f in seconds i e with a measured respiratory rate of for example 15 min the steps for the Apnea alarm limit are 16s 20s and 24s Automatic alarm for the CO high alarm If the Automatic alarm limits are activated the limit for the CO alarm is automatically set at 5 mmHG 6 2 Setting alarm limits You can set limit values for alarms relating to respiratory physiology Proceed as follows 1 Press the function button for Main menu to ca
49. hich includes the following components filters batteries incl rechargeable articles for one time use Failure to use original spare parts WEINMANN is not liable for consequential damage caused by a defect unless it is based on intent or gross negligence WEINMANN is also not liable for injury to life or limb resulting from slight negligence WEINMANN reserves the right at its option to rectify defects deliver a defect free item or reduce the purchase price by a reasonable amount If WEINMANN rejects a warranty claim it shall not bear the expense of transport between customer and manufacturer This warranty does not affect your statutory rights Warranty 14 Declaration of Conformity WEINMANN Ger te f r Medizin GmbH Co KG declares herewith that the product complies fully with the respective regulations of the Medical Device Directive 93 42 EEC The unabridged text of the Declaration of Conformity can be found on our website at www weinmann de Declaration of Conformity 103 Weinmann Ger te fiir Medizin GmbH Co KG P O Box 540268 e D 22502 Hamburg Kronsaalsweg 40 D 22525 Hamburg T 49 0 40 5 47 02 0 F 49 0 40 5 47 02 461 E info weinmann de Www weinmann de Center for Production Logistics Service Weinmann Ger te f r Medizin GmbH Co KG Siebenstticken 14 D 24558 Henstedt Ulzburg T 49 0 4193 88 91 0 F 49 0 4193 88 91 450 emergency homecare diagnostics WEINM
50. ient valve off the tube or mask 2 Attach the ventilation bag e g COMBIBAG WM 11000 from WEINMANN and carry out manual ventilation Ventilation aid You can use the LIFEWAY WM 10580 from WEINMANN to perform mouth mask ventilation Oxygen failure In exceptional situations when there is no oxygen supply the MEDUMAT Transport can also be operated with sterile compressed air Note During ventilation with sterile compressed air or concentrator oxygen the unit gives the OJ alarm continuously 5 16 Changing battery during use The battery should be changed in good time when it starts to run low Always keep a fully charged battey ready for changeover fee change the battery within the space of 30 seconds the unit restarts automatically Settings made before changing battery are then retained Proceed as follows 1 Have the fully charged battery ready to hand 2 Pull the low battery out of the unit s battery compartment 3 Insert the replacement battery into the compartment within 30 seconds 4 Continue with ventilation Operation 55 5 17 Battery management MEDUMAT Transport has an internal power supply with a rechargeable battery Two battery versions are available e Battery pack Plus WM 28385 for internal and external charging can be recharged either in the unit or using an external charger WM 28390 charge level can be checked on the battery e Battery pack WM 28384 for internal charging can only be recharged i
51. ilation mask silicone Children Size 3 WM 5063 Children Size 2 WM 5062 Infants Size 1 WM 5061 Babies Size O WM 5060 CPAP NIV reusable mask silicone Children Size S WM 20713 Adult Size M WM 20714 Large adult Size L WM 20715 Set of ventilation masks silicone 1 x CPAP NIV reusable mask in each of the sizes S M L WM 15808 1 x headgear 1 x retaining ring for headgear Retaining ring for headgear for CPAP NIV reusable WM 20701 masks Oropharyngeal tube Adults Size 3 WM 3165 Teenagers Size 2 WM 3163 Children Size 1 WM 3162 Reusable patient hose system 3 m complete WM 28676 Disposable hose system 3 m with CO3 measurement without BiCheck flow sensor IM 228022 Disposable hose system 3 m without CO gt measurement without BiCheck flow sensor WME Zae Measurement hose system 3 m without CO3 WM 28693 measurement packaged Set of disposable hose systems 3 m with CO3 measurement without BiCheck flow sensor WM 15851 10 x WM 28690 CO measurement without BiCheck flow sensor 10 x WM 28690 WM sige Set of measurement hose systems 3 m with CO3 measurement 10 x WM 28595 MVM 13833 Product accessories 91 Parts Set of measurement hose systems 3 m without CO measurement 10 x WM 28685 Order number WM 15854 Disposable hose system without CO measurement with BiCheck flow sensor WM 28657 Disposable hose system with
52. irway pressure the tidal volume falls by 0 79 ml mbar reusable hose system or by 0 9 ml mbar disposable hose system Deviation of tidal volume ml Counterpressure mbar Reusable hose Disposable hose system system 0 0 0 5 3 95 4 5 15 11 85 13 5 30 23 7 27 60 47 4 54 The stated values refer to the standard hose systems Reusable hose system WM 28425 and Disposable hose system WM 28435 If you have a different hose system e g of a different length refer to the instruction manual for the Patient Hose System WM 66696 for the values that apply to your system Technical Data 101 13 Warranty 102 WEINMANN warrants that the product when used for the intended pur pose will remain free from defects for a period of two years from the date of purchase For products whose service life is indicated as less than two years the warranty shall end on the expiration date indicated on the packaging or in the instruction manual Warranty claims must be accompanied by the sales receipt showing the seller and date of purchase We offer no warranty in the case of Disregard of the instruction manual Operating errors Improper use or handling Repairs to the unit by non authorized persons Acts of God e g lightning strikes Transport damage as a result of improper packaging of returned items Lack of maintenance Operational and normal wear and tear w
53. ise it must not be used when removed from storage Note If the unit is going to be stored for longer than a month remove the battery and store separately To keep the battery ready for use charge it every six months 10 6 Disposal Ventilator Do not dispose of the unit in the household waste Consult an authorized electronic waste recycling company for the proper disposal of the unit You can find out their address from your environmental officer or from your local council Ex Disposal of batteries Do not dispose of used batteries in the household waste i Contact WEINMANN or a public waste disposal authority we 88 Maintenance 11 Product accessories 11 1 Standard scope of supply MEDUMAT Transport WM 28300 Parts Order number MEDUMAT Transport basic unit WM 28315 Reusable patient hose system complete WM 28425 Battery WM 28384 Set of vibration absorbers for unit installation WM 15730 Ventilation mask size 5 for adults WM 5074 Set of CPAP NIV disposable masks with air cushion ec a ne eee 1 x headgear Set for unit inspection of MEDUMAT Transport WM 15737 Set of suction filters WM 15473 a for STK safety check certificate Germany WM 28325 Delivery record WM 16318 Medical device book WM 16212 Instruction manual MEDUMAT Transport WM 66001 Concise operating instructions WM 66016 MEDUMAT Transport with CO module WM 28400 Parts Orde
54. lect the Preoxygenation function in the Mode menu and confirm your selection O25 l min f f f f 201 min 3 Select the liter capacity you require using the navigation O 45 Vmin knob and confirm your selection lt ee The selected liter capacity is indicated in the blue Mode off field on the screen h 4 To end preoxygenation select Off and confirm your selection The Preoxygenation menu is closed The Mode menu is displayed Changing to a different ventilation mode If you change from one ventilation mode to another the unit will respond as follows Ventilation parameters which are also available in the new ventilation mode are retained unchanged Ventilation parameters which are not available in the new ventilation mode are saved but have no influence on the current ventilation The saved values become available again as soon as the previous ventilation mode is reactivated When changing from volume controlled ventilation to pressure con trolled ventilation the inspiratory pressure is limited to 15 mbar Operation 37 5 6 Pressure controlled ventilation modes SPV SPV Smart Pressure Ventilation ee SPV mode is used for pressure controlled ventilation with JA TE fixed pressure levels recon el This mode offers maximum flexibility By selecting suitable Ie parameters all other ventilation modes that are integrated KS in MEDUMAT Transport can be implemente
55. ll up the main menu 09 27 Ti 2 1s p mbar Automatic alarm limits 20 Vte t 1500 ml 2 Select Alarm limits in the menu 3 Select the alarm for which you wish to change the limit Vtel 300 mi Hal ean values and confirm your selection 7 e u w o al 4 Set the limit value and confirm your setting t i Bs eras Soe 5 Repeat steps 3 and 4 for all the alarms whose limit COzi t 0 5 Vol back values you wish to change 6 To exit the menu select Back in the menu and confirm your selection You can set limit values for the following alarms Alarm Setting range Auto alarmimits eiues at the time of activation Vie high 55 3000 ml Vte low 5 2000 ml MV high 1 160 MV low 0 1 1101 f high 1 150 min Apnea 4 605 Configuring the unit 61 Alarm Setting range 20 75 mmHd 2 6 9 9 by vol pce high 2610hPa ie et CO low 0 40 mmHg 0 9 9 by vol 0 5 4 hPa COzi high 5 7 mm Hg 0 9 9 by vol 0 10 hPa 6 3 Setting the presentation of ventilation values only with units with etCO measurement For the purpose of ventilation monitoring you can have up to three parameters ventilation pressure flow CO concentration simultaneously in graph form on the display of the MEDUMAT Transport with etCO measurement The following presentation versions are possible Ventilation pressure flow Ventilation pressure C
56. lume This mode is used on patients who have no spontaneous respiration You can set the following ventilation values using the control knobs e Control knob 1 PEEP e Control knob 2 Pmax pressure limitation e Control knob 3 Vi e Control knob 4 Respiratory rate e Navigation knob I E or T at a respiratory rate lt 6 min You can set the following parameters using the context dependent function buttons on the right of the display e Button 1 Select a different ventilation mode e Button 2 No function e Button 3 No function You can find more setting options under the menu item Advanced ventilation parame ters in the Main menu see 6 4 Setting advanced respiratory parameters on page 63 Note If you select a PEEP gt 0 in this mode the mode designation changes from IPPV to CPPV Constant Positive Pressure Ventilation Operation 43 S IPPV S IPPV Synchronized Intermittent Positive Pressure Ventilation 20 0 o 7 Flow Vmin MVe Wmin a 16 Warning e Risk of hyperventilation Continuously monitor the patient s measured respiratory rate and measured minute volume in order to prevent hyperventilation e Risk of air trapping Continuously monitor the airway pressure in order to prevent air trapping S IPPV mode is used for volume controlled ventilation with a variable mandatory minute volume MV Throughout the entire expiration phase a trigger is active which
57. matic function check feature for testing the unit s sensors actuators and controls To start the automatic function check proceed as follows Start automatic function check 1 First assemble MEDUMAT Transport ready for operation with Patient Hose System Function check 77 Emergency Adult 2 Switch the unit on 3 Check that during the self test the alarm LED lights up briefly Hd 4 Check that during the self test the alarm buzzer emits a series of five audible sounds and that the loudspeaker New patient then emits two audible sounds Select the Function check item on the start screen Function check Follow the instructions on the display aonek Check for leaks see 8 2 Checking the system for aution Do not perform function heck with the patient connected leaks on page 75 and check the hose system see Check the hose system for leaks as described 3 3 Checking the patient valve only reusable in the operating instructions Open valve of oxygen cylinder hose system on page 77 B Connect patient hose system 4 Connect testing bag Do not touch the patient hose and the testing bag after this a Open the valve of the oxygen cylinder Start function check Connect the patient hose system Connect a testing bag Do not touch the patient s hose and the testing bag after this Note If a fault in the unit occurs during the function check inspect the hose system
58. mitter s power output Nominal power of Separation distance according to transmission frequency in m the RF device S NT T E in W 150 kHz 80 MHz 80 MHz 800 MHz 800 MHz 2 5 GHz 0 01 0 04 0 04 0 07 0 1 0 11 0 11 0 22 1 0 35 0 35 0 70 10 1 11 1 11 2 21 100 3 50 3 50 7 00 Further technical data are available on request from WEINMANN and are also provided in the service and repair manual Subject to alterations in design Technical Data 99 12 4 O consumption of the unit PEEP 20 mbar PEEP 15 mbar PEEP 10 mbar me PEEP 5 mbar n PEEP 0 mbar 0 2 T I 2 2 E 0 1 5 al G 3 2 0 j i Pinsp mbar 0 10 20 30 40 50 60 70 12 5 Possible O concentration with counterpressure Attainable oxygen concentration with counterpressure 100 0 90 0 80 0 70 0 60 0 50 0 T 1 1 1 1 1 02 concentration 40 0 0 mbar counterpressure i i 5 mbar counterpressure 30 0 i 15 mbar counterpressure i i 30 mbar counterpressure i 20 0 1 60 mbar counterpressure i i i i i 10 0 J T i H i i i i i i 0 0 5 60 140 175 Flow in I min 100 Technical Data 12 6 Attainable tidal volume with counterpressure With volume controlled ventilation the volume released to the patient is influenced by the hose compliance In relation to the respective a
59. n the unit charge level can be checked on the battery For recharging an external DC power supply with 12 15 V internal charging or 15V external charging is required Only use the vehicle aircraft electrical power supply If charging in an AC wall outlet use the charger WM 28390 MEDUMAT Transport can be operated from an external power supply when the battery is empty The battery is charged while the unit is in operation but charging takes longer than when the unit is off Caution e The unit must never be operated without the battery installed because any voltage dips in the power supply cannot then be bridged which would mean that uninterrupted ventilation of the patient is not guaranteed e Battery operated medical devices have a limited operating period MEDUMAT Transport can be operated for at least three hours without an external power supply provided that the battery is fully charged You should therefore ensure that the battery is always as fully charged as pos sible or have a spare battery ready for use Battery charge level indicator MEDUMAT Transport At the top left of the display you will find the symbol indi cating the battery charge level The indication is in five IEE ROO stages The picture opposite shows examples of a full half full and empty battery empty half full full 56 Operation Charge level indicaton on the battery itself
60. ndotracheal tube 3 During ventilation check the respiratory parameters on the display This will enable you to determine whether ventilation is adequate Note If your unit is equipped with the optional CO measurement you can check the tube position on the basis of the capnogram and correct it if necessary Ventilation mask 1 If necessary use the elbow supplied with the hose sytem to ensure optimum routing of the hose system depending on the patient s position Caution Using the elbow increases the dead space of the hose system Take this into account when setting the ventilation parameters Otherwise the success of treatment may be compromised Attach the mask to the hose system If necessary introduce a Guedel oropharyngeal tube to keep the patient s airways free Place the ventilation mask over the patient s mouth and nose mn Ae WN Extend the patient s head and at the same time hold the mask tight against the patient s face by means of the EC grip 48 Operation 5 10 Monitoring ventilation General During ventilation you must monitor the patient continuously You can follow the progress of ventilation on the display You can select various display formats High airway resistances e g due to obstructions of the airway or during external cardiac massage may change the respiratory minute volume depending on the ventilation mode If lung compliance decreases the unit responds as follows e
61. nician expressly authorized by WEINMANN Caution e Do not place a switched on cellular phone or radio closer than 1 m from the MEDUMAT Transport as this could cause malfunctions e Remember that the respiratory resistance of the system as a whole may increase beyond the level specified by the standard when an HME filter 24 Safety information heat and moisture exchanger a bacterial filter or a combined HME bacterial filter is used When operating the unit with the power supply unit always connect the unit to an easily accessible outlet so that it can be unplugged quickly in the event of a malfunction When operating the unit with the power supply unit make sure that the power cord cannot cause anyone to trip or cause any obstruction If necessary do not use an external power supply but operate the unit with the battery instead When operating the unit with the 12 V supply cord always connect the unit to an easily accessible vehicle electrical system receptacle so that it can be unplugged quickly in the event of a malfunction When operating the unit with the 12 V supply cord make sure that the cord cannot cause anyone to trip or cause any obstruction If necessary do not use the vehicle electrical system but operate the unit with the battery instead A Spare unit must always be kept ready for use in case of failure After using the unit in a dusty environment e g a gravel plant change the suction filter as desc
62. nsor medium priority iCheck flow sensor efective or isconnected woro w iCheck flow sensor onnection line efective or isconnected a aq Connect BiCheck flow sensor or use fully functional flow sensor Connect BiCheck flow sensor connection line correctly or use fully functional sensor lead Flow module defective medium priority w iCheck module defective Have unit repaired Input pressure Compressed gas source not switched on oxygen cylinder almost empty Switch on compressed gas source or use full oxygen cylinder Compressed gas source not correctly connected Check connection and feed lines of compressed gas source lt 2 7 bar high priority Compressed IAS Replace compressed gas source defective Compressed gas tube Route compressed gas tube so kinked or squashed that it is not kinked or squashed Pressure reducer Replace pressure reducer defective P P Use 6 bar compressed gas source Input pressure ia Pressure of respiratory high priority i lt or switch unit off and gt 6 bar gas too high i disconnect No unit fault message appears e g on removing unit from wall Ederna nowe sunni mounting or portable system or if Battery operation low priority P PPY la power failure occurs during too weak or has failed operation via the power supply unit alarm stops automatically after 10 seconds No battery or battery defective medium priority No
63. ntrol is found to have a defect the corresponding control on the display is shown in red In this case discontinue the test by pressing the menu button EB Function check complete Note Status report T Do not press the On Standby Off button during the test OK If all the fields are green a summary is automatically generated and displayed as soon as the automatic function check has ended 2 Confirm the summary with OK The window is closed 3 If defects are found in one or more controls corresponding fields on the screen are shown in red discontinue the test Testing the power failure alarm 1 Once the automatic function check has finished switch to ventilation mode 2 Pull out the battery and disconnect the charger or remove the portable system from the wall mounting for not more than 30 seconds If the red alarm LED flashes and an acoustic signal sounds the power failure alarm is functional 3 Reconnect the power supply 4 If you wish to use the unit switch it on again Function check 79 9 Troubleshooting If problems occur which cannot be rectified immediately contact the manufacturer WEINMANN or your authorized dealer to have the unit repaired Do not continue using the unit to avoid serious damage 9 1 Troubleshooting Fault Cause Remedy MEDUMAT Transport cannot be switched on MEDUMAT Transport defective Repair by manufacturer dealer Battery empty
64. of supply 89 ACCOSSOMES ieee necktie Rade ek 90 Replacement parts 93 Technical Data 95 Specifications 95 Block diagram 99 12 3 12 4 12 5 12 6 13 14 Separation distances 99 O consumption of the unit 100 Possible O concentration with counterpressure 100 Attainable tidal volume with counterpressure 101 Warranty 102 Declaration of Conformity 103 Contents 3 1 Overview Connections on MEDUMAT Transport 1 Alarm display 2 USB interface 3 O inlet 4 O inlet outlet 5 Filter compartment cover air inlet 6 Ventilation connection terminal 8 DC connection 7 Rechargeable battery 1 Alarm display 6 Ventilation connection terminal Glows to indicate alarms The tube system is connected here 2 USB interface 7 Rechargeable battery Means of data transfer for servicing and Provides mobile power supply to the unit maintenance purposes 8 DC connection 3 0 inlet For DC power supply via an external power supply Connection point e g for an oxygen cylinder unit or via the electrical circuit of an ambulance or 4 0 inlet outlet rescue vehicle At this connection point oxygen can be 9 External power supply unit extracted e g using an inhalation device or Provides power supply to the unit via a 100V an oxygen source can be connected 240V gri
65. oms and departments e between a hospital and other locations secondary transport Short term ventilation in hospitals e recovery room e intensive care unit e surgery preparation and follow up e emergency department MEDUMAT Transport is also suitable for gentle ventilation of anesthetized patients TIVA total intravenous anesthesia Description 15 2 3 User qualification MEDUMAT Transport must only be used by persons who can verify that they have the following qualifications e A medical qualification and training in ventilation techniques e Training in the use of the MEDUMAT Transport by a person authorized by WEINMANN Improper use may lead to serious physical injury 2 4 Function The unit MEDUMAT Transport is used to treat apnea and to provide respiratory support By means of adjustable ventilation parameters the unit ensures uniform ventilation tailored to the patient Four pressure controlled ventilation modes SPV CPAP ASB BIPAP PCV and four vol ume controlled ventilation modes SVV IPPV S IPPV SIMV can be selected to provide op timum patient ventilation In CPAP ASB mode the unit enables assisted spontaneous breathing with continuous positive airway pressure and respiration controlled oxygen inhalation In addition the unit permits O inhalation for preoxygenating the patient The unit allows the oxygen concentration of the respiratory gas to be adjusted Depending on the version the uni
66. on 64 Configuring the unit Flow progress 42 00 Ti 2 1s MV 05lmin Ny With this function you can set the flow progress Proceed MIG Advanced ventilation parameters as follows Pressure ramp ad T i a EE 1 Press the function button for Main menu to call up Flog CeCe j Se the main menu Trigger thresholds PA ue __ Inspiration 3 Imin 2 Select Advanced ventilation parameters in the menu ie a 9 Flow max and confirm your selection a A A A 4 3 Select the setting you require under Flow progress constant or decreasing and confirm your selection 4 To exit the menu select Back and confirm your selection Setting trigger thresholds Ee With this function you can set the inspiratory and a expiratory trigger threshold Proceed as follows Pressure ramp Pa t acorn ame Press the function button for Main menu to call up F decreasing the main menu constant aT 2 Select Advanced ventilation parameters in the menu Inspiration 3 min Expiration 30 Flow max and confirm your selection back A 3 Under Trigger thresholds select Inspiration or Expiration and confirm your selection 4 Set the value you require and confirm your setting 5 To exit the menu select Back and confirm your selection You can make the following trigger settings Trigger Setting range Inspiration 1
67. on as the cause of the alarm has been rectified 5 12 Ventilation with filters not supplied with the unit For hygiene purposes and to condition the air for breathing you can equip the patient valve with commercially available filters HME bacterial or combined HME bacterial filters with standard 15 22 mm connections This increases both the inspiration and expiration resistance so you should monitor the ventilation pressure and volume with special care Allowance must be made for the larger dead space especially with children Always follow the filter manufacturer s operating instructions 5 13 Ending ventilation Caution Never empty the oxygen cylinder completely Always ensure that there is a certain residual pressure in the cylinder when you return it for filling as this prevents moist ambient air from entering and causing corrosion 1 Check the remaining oxygen content on the contents gauge If the contents gauge indicates 50 bar or less the cylinder must be refilled or a reserve cylinder obtained to ensure that the unit remains ready for use 2 Close the valve on the oxygen cylinder 52 Operation 3 Hold down the On Standby Off button for 2 seconds to switch the unit to standby Note The unit still uses up electricity in standby mode If the unit does not need to be used for a long time or is not connected to the power supply we recommend switching it off To do so hold down the On Standby Off until
68. ontains the following information while the unit is in use Progress of the current ventilation e Current measurements e Ventilation parameters set to be set e Current assignment of the context dependent function buttons and control knobs e Alarms and error messages Function buttons with fixed assignment The fixed assignment function buttons enable you to carry out the following actions directly Function but tons with fixed assignment e Call up the main menu e Activate the 100 O3 function e Call up the O concentration menu e Mute acoustic alarms 28 Operation Context dependent function buttons 982 fsp 1 Function buttons A for emergency NEE ventilation Context dependent buttons Context dependent buttons Context dependent buttons On both sides of the display there are context dependent function buttons for calling up the following functions Left side of the display e Selecting emergency modes available in every ventilation mode Infant approx 10 kg Child approx 25 kg Adult approx 75 kg Right side of the display e Calling up menus during ventilation Button 1 Selecting a ventilation mode Button 2 Activating deactivating triggers in SVV SPV BILEVEL modes Button 3 Setting the pressure level of the ASB function ASB Assisted Spontaneous Breathing in SVV SPV BILEV
69. or this refer to the instruction manual for the Patient Hose System When connecting the patient valve check that the direction of flow of the respiratory gas is correct Make sure that the expiration opening of the patient valve is not covered or prevented from functioning e g by the patient s position Only use the Patient Hose System for the purpose described For this refer to the instruction manual for the Patient Hose System The Patient Hose System is not suitable for hyperbaric use pressure chamber Also refer to the instruction manual for the Patient Hose System Software Risks due to software errors have been minimized by means of extensive qualification measures Accessories Repairs Replacement parts Caution Protect silicone rubber parts against UV light and prolonged direct exposure to sunlight to prevent them becoming brittle We recommend that work such as inspections and repairs should be carried out by the manufacturer WEINMANN or by a technician expressly authorized by WEINMANN If third party items are used functional failures may occur and fitness for use may be restricted Biocompatibility requirements may also not be met Please note that in such cases any claim under warranty and liability will be voided if neither the accessories nor genuine replacement parts recommended in the instructions for use are used Safety information 27 5 Operation 5 1 Controls Display The display c
70. paration 73 8 Function check The user must carry out a function check on the unit before each use and after each disassembly but at least every 6 months e Connect the ventilation hose the patient valve and a test bag to the MEDUMAT Transport Warning If this function check reveals any faults or discrepancies compared to the specified values you must not use the MEDUMAT Transport Have the unit repaired by WEINMANN or an authorized dealer You should first try to rectify the fault with the aid of the information provided in Section 9 Troubleshooting on page 80 If this is not possible have the unit repaired by the manufacturer WEINMANN or by a technician expressly authorized by WEINMANN A full function check comprises e Visual inspection for mechanical damage e Visual inspection of the display e 8 2 Checking the system for leaks on page 75 e 8 3 Checking the patient valve only reusable hose system on page 77 e 8 4 Automatic function check on page 77 e We recommend you to always keep the following spare parts available Spare seals for the unit connections A replacement dust filter PEEP control diaphragm for patient valve Check valve diaphragm for patient valve Measurement hose system including water filter for CO z measurement Note Make sure that the test bag has been serviced in accordance with the maintenance schedule 74 Function check 8 1 Intervals Before each u
71. r 4 Visually inspect the masks and replace any damaged parts immediately The reusable ventilation tube reusable patient valve see previous section reusable BiCheck flow sensor and ventilation masks with silicone cushion can also be autoclaved 7 4 Fittings Warning Risk of explosion Never immerse the fittings in disinfectant or other liquids Only carry out wipe disenfection Liquid must not be allowed to enter the pressure reducer Otherwise there is a risk of explosion If it is absolutely necessary to clean the fittings e g pressure reducer valve use a clean cloth The cloth may be dry or moistened with clean water Hygienic preparation 71 7 5 Cleaning disinfection and sterilization Carry out hygienic preparation of the MEDUMAT Transport and the accessories used as described in the following table Refer to the instructions supplied with the hose system and with the disinfectant used We recommend using GIGASEPT FF for immersion disinfection and TERRALIN for wipe disinfec tion You are advised to use suitable gloves for disinfection work e g household or dis posable gloves Reusable components DA Thermo Steriliza Parts Cleaning Disinfection we disinfector tion Wipe down with a i E Not MEDUMAT Transport moist cloth Wipe disinfection Not permitted permitted BiCheck flow sensor lead De down aie Wipe disinfection Not permitted Not moist cloth permitted
72. r number MEDUMAT Transport basic unit with CO module WM 28415 Other items supplied as with MEDUMAT Transport WM 28300 Product accessories 89 11 2 Accessories Pressure hose 10 bar with connection nozzle G 3 8 at the other end the option of a union nut G 3 8 or oxygen supply connector Parts Order number Oxygen cylinder 2 liter WM 1822 Lightweight aluminium oxygen cylinder 2 liter WM 1821 Pressure reducer OXYWAY Fix III 120 I min 4 5 bar WM 30301 poe Fast Il High Flow WM 31891 Water trap WM 28360 Article number on request 90 Product accessories Pressure hose fabric 3000 mm LG WM 13260 Vibration absorber WM 15730 Externally chargeable battery WM 28385 Power supply unit WM 28390 Set holding plate for equipment rail WM 15845 Set wall holder for power supply unit and charger WM 15846 Wall holder for rechargeable battery pack WM 15847 Hospital standard rail attachment set 1 x WM 8244 SNe Toe Rail bracket attachment set WM 15806 12 V supply lead WM 28356 Ventilation mask transparent with inflatable silicone cushion Adults Size 5 WM 5074 Children and teenagers Size 3 WM 5082 Babies and infants Size 1 WM 5086 Ventilation mask one piece silicone Size 5 WM 5084 Size 4 WM 5085 Size 2 WM 5092 Size 1 WM 5091 Size 0 WM 5090 Parts Order number Rendell Baker vent
73. rameters Audio Video Options Night colours back Vte t Vte MVe t MVe 4 tt Apnoea etCO2 t etCO2 4 0 Vol Cozi t 0 5 Vol 1 First select a menu using the function buttons here Main menu 2 Select a menu item by pressing the fH function button the selection bar moves downwards or the jm button the navigation bar moves upwards 3 Confirm your selection by pressing the Bj button 4 To leave a menu select the menu item Back using the E or EJ button and confirm your selection by pressing the Bg button Proceed in the same way when making numeric settings here Alarm limits Press the g button to raise the value and the E button to lower it Press the Bij button to confirm the newly set value 5 To switch from a sub menu direct to the ventilation screen press the function button for Main menu again Other symbols used in the menus Pre oxygenation O 25 min O 20min O 415 I min ro 5 l min 34 Operation Radio button If a menu contains functions which have a so called radio button only one function at a time can be selected in this menu Tick box If a menu contains functions which have a so called tick box these functions can be activated in addition to other functions 5 4 Emergency modes Three modes with preset ventilation parameters are avail able for emergency ventilation You can select these at any time du
74. ration 5 11 Alarm signals Alarm priority MEDUMAT Transport classifies alarms in the following priority levels e high priority e medium priority e low priority If two or more alarms occur simultaneously alarms with the currently highest priority are displayed cyclically You can set limit values for alarms relating to respiratory physiology see 6 2 Setting alarm limits on page 61 Display of alarms MEDUMAT Transport displays alarms as follows e High priority LED flashes red Audible alarm high priority every 8 seconds Alarm text appears in info field info field flashes Info field red e Medium priority 3 a LED off 35 0 Audible alarm medium priority every 15 seconds me a Alarm text appears in info field info field flashes b 2a ao Fow linin gu i yellow lp i L e Low priority LED off Audible alarm low priority every 30 seconds Alarm text appears in info field info field has turquoise background Operation 51 Muting the alarm When an alarm occurs you can mute the audible alarm n temporarily 120 seconds by pressing the Alarm Mute button For these 120 seconds a yellow LED is alight Press the button again to reactivate the acoustic alarm The visual alarm remains active As soon as a higher priority alarm occurs the acoustic alarm is immediately reactivated Visual and acoustic alarms are automatically reset as so
75. red or the unit may be damaged Filter compartment cover 1 Undo the two screws in the filter compartment cover hexagon socket head screws 3 mm and remove the cover Note Support the cover on one side with a slot head screwdriver This prevents the cover from jamming while you are lifting it off 2 Remove the old filter with tweezers 3 Clean the area of the air inlet and outlet openings with a cotton bud moistened with Terralin Caution Do not use compressed air for cleaning the area of the air inlet and outlet openings as this may blow dust particles into the unit This can cause malfunctions thereby putting the patient at risk 4 Wipe disinfect the filter compartment cover with Terralin and let it dry 5 Install the new suction filter with tweezers so that the letters top remain visible when the filter is in place 6 Refit the cover and screw tight Maintenance 87 10 5 Storage If MEDUMAT Transport is not going be used for a considerable length of time we recommend the following procedure 1 Clean and disinfect the unit see 7 Hygienic preparation on page 70 2 Switch the unit off by pressing the On Standby Off button approx 10 seconds until the alarm LED goes out completely 3 Store MEDUMAT Transport in a dry place see 12 Technical Data on page 95 Caution Be sure to observe the maintenance intervals even when the unit is in storage as otherw
76. ribed in the section 10 4 Changing the suction filter on page 87 Safe handling of oxygen Warning Risk of explosion In combination with combustible substances grease oil alcohol etc highly compressed oxygen may give rise to spontaneous explosive reactions Risk of fire If only the O3 inlet outlet is used close the O3 inlet on the side with a suitable cap Otherwise oxygen will escape from the O inlet on the side Risk of poisoning Highly concentrated oxygen can have a toxic effect on the patient if administered for too long and depending on the age of the patient When ventilating with pure oxygen or an oxygen air mixture make sure that oxygen is only administered for an appropriate period Keep the units and all screwed unions absolutely free from oil and grease Be sure to wash your hands before working on the oxygen supply Smoking and open flames are strictly prohibited in the vicinity of fittings containing oxygen Safety information 25 Caution When assembling the unit and when changing cylinders tighten all screwed unions on the oxygen cylinder and pressure reducer by hand only Never use tools Overtightening damages the threads and seals resulting in leaks Secure the oxygen cylinders so that they cannot fall over If a cylinder falls on the pressure reducer or valve these could break off causing a violent explosion Risk of insufficient oxygen supply Two oxygen sources can be connect
77. ring ventilation by pressing the context dependent Context function buttons on the left of the display twice dependent buttons e Button 1 Infant 1 10 0 e Button 2 Child 2 e Button 3 Adult 3 ar All three emergency modes are based on the IPPV ventila tion mode see IPPV on page 43 This mode is activated automatically when you call up an emergency mode from another ventilation mode e g SVV IPPV ventilation is started with preset parameters These are optimized for the following patient groups e Infant approx 10 kg body weight e Child approx 25 kg body weight e Adult approx 75 kg body weight Parameter Adult Child Infant PEEP O mbar O mbar O mbar Pmax 30 mbar 25 mbar 20 mbar I E 1 1 7 1 1 7 11 7 Frequency 12 min 20 min 30 min Vi 600 ml 200 ml 100 ml Operation 35 5 5 Selecting a ventilation mode MEDUMAT Transport offers the following ventilation modes Details about the individual modes are given on the pages indicated below Pressure controlled ventilation modes e SPV see SPV on page 38 e CPAP ASB see CPAP ASB on page 39 e BILEVEL see BILEVEL on page 40 e PCV see PCV on page 41 Volume controlled ventilation modes e SVV see SVV on page 42 e _ PPV see IPPV on page 43 e S IPPV see S IPPV on page 44 e SIMV see SIMV on page 45 To select a ventilation mode proceed as
78. rises above 45 C e g due to high ambient temperature or falls below 5 C e Charging current is too high gt 3 A e g short circuit If one of these problems occurs charging is automatically interrupted and the charging indicator glows red Charging is also interrupted if there is no external power supply e g because the unit mounted on a portable system has been removed from the wall mounting The charging indicator does not light up in this case because this is not a fault but a normal operating state As soon as the external power is restored e g when the portable system is replaced in the wall mounting charging continues Operation 59 6 Configuring the unit In the main menu you can optimize the unit s settings to suit the particular service conditions The main menu can be called up at any time using the function button for Main menu 09 35 Ti 2 1s bar Main menu Automatic alarm limits f Alarm Limits Curves To navigate in the menu you can use either the navigation knob or the context dependent function buttons on the right of the display see 5 1 Controls on page 28 Advanced ventilation parameters Audio Video Options o Night colours G back 1 jw umin 6 1 Automatic alarm limits General When the Automatic alarm limits function is active the unit automatically sets limits for the alarms relating to respiratory physiology The determinin
79. se e Perform a function check After each use or disassembly e Clean disinfect and sterilize the unit see 7 Hygienic preparation on page 70 e Perform a function check At least every 6 months e Perform a function check e Check the suction filter for soiling Unscrew and remove the filter cover Never reinstall used filters 8 2 Checking the system for leaks 1 Slowly open the valve on the oxygen cylinder You can now read the cylinder pressure on the contents gauge of the pressure reducer For example a reading of 200 bar means that the cylinder is full a reading of 100 bar that it is half full You should change the cylinder in good time e g when the pressure falls below 50 bar to ensure a sufficiently long operating time 2 Close the cylinder valve again 3 Observe the needle of the contents gauge on the pressure reducer for approx 1 minute If the position of the needle stays constant the system is free from leaks If the needle falls steadily there is a leak in the system Function check 75 Rectifying leaks Note Always keep a stock of replacement seals for the connections Prepare a soapy solution using unperfumed soap Wet all the screw and hose connections with the solution If bubbles form this indicates a leak Release the pressure in the system Close the oxygen cylinder valve Switch MEDUMAT Transport on briefly until the contents gauge on the O
80. struction manual carefully It is part of the unit and must be available at all times For your own safety and that of your patients and in accordance with the requirements of Directive 93 42 EEC please observe the following points General e Always carry out a functional check before using the unit see 8 Function check on page 74 e Please observe the section 7 Hygienic preparation on page 70 in order to avoid infection or bacterial contamination Warning e Risk of injury Only use MEDUMAT Transport if you are a qualified medical professional and have received training in respiration techniques Improper use may lead to serious physical injury e Risk of injury Never leave the patient or the ventilator unattended during ventilation Only then can you respond quickly if the patient s condition deteriorates or in the event of an alarm or malfunction Delayed response on the part of medical personnel may lead to serious physical injury e Only use MEDUMAT Transport for the designated purpose see 2 1 Intended use on page 15 e MEDUMAT Transport is not suitable for hyperbaric use pressure chamber e The unit is not licensed for use in explosive atmospheres The unit must not be used in combination with flammable gases or anesthetics e The unit is not licensed for use in poisonous or contaminated atmospheres e Only have modifications to the unit carried out by the manufacturer WEINMANN or by a tech
81. surement 15 monitoring CO measurement Side stream method removal rate 75 ml min Tolerances for CO measurement 0 43 by vol 8 of the CO concentration as per EN 21647 2004 O gt measurement Non consuming O sensor O concentration Tolerances O gt measurement Compressed gas thread Adjustable in 10 steps between 40 and 100 10 by vol External thread G 3 8 Quick release coupling available for various types Ventilation hose connection WEINMANN specific Patient valve connections WEINMANN specific Internal power supply Maintenance free removable Li ion battery Expected life 2 years capacity 6 45 Ah operating time with battery 4 5 h charging time 4h Internal buffer battery Button cell CR 3220 expected life at least 6 years Sound pressure level of alarm 45 80 dB A Technical Data 97 MEDUMAT Transport Ventilation hose Reusable system Disposable system Resistance of Patient Hose System as per EN 794 3 and DIN ISO 10651 3 Inspiration Expiration Spontaneous respiration PVC hose service life at least 30 cleaning disinfection or sterilization cycles PVC hose one time use lt 6 mbar at 60 l min BTPS Flow resistance at 15 30 and 60 l min pressure drop lt 1 5 lt 3 0 and lt 6 0 mbar Dead space Reusable patient valve Disposable patient valve Compliance
82. t s large display can show up to three spirometric graphs pressure flow and CO3 For emergency situations rapid selection of default types of ventilation is possible 16 Description Patient Hose System The ventilation gas is supplied to the patient via the Patient Hose System comprising the ventilation hose and all leads necessary for comprehensive ventilation and monitoring The Patient Hose System is designed to permit spontaneous respiraton even if the MEDUMAT Transport malfunctions The Patient Hose System is available in two versions e Reusable hose system e Disposable hose system Description 17 3 Installation As arule MEDUMAT Transport only has to be installed for stationary use in rescue vehicles helicopters or aircraft In this case fastening sets can be supplied as accessories If MEDUMAT Transport is supplied complete on a portable system the unit is ready for operation and no further installation work is required There are separate instruction manuals for the portable systems Warning After installation you must perform a functional check see 8 Function check on A N page 74 to ensure reliable operation 3 1 Connecting oxygen cylinder Warning e Risk of explosion Wash your hands thoroughly before doing any work on the oxygen supply Hydrocarbon compounds e g oil grease A N cleaning alcohol hand cream or adhesive plasters can cause explosive reactions if they come into contact
83. t testing of the conventional steel oxygen cylinders by the T V Technical Inspectorate The next testing date is shown on the shoulder of the cylinder Every 12 years e Change the circuit boards 10 2 Batteries The batteries used for MEDUMAT Transport are maintenance free Nevertheless it is advisable to fully charge them at regular intervals every 6 12 months depending on the length of use and then fully discharge them again This so called learning cycle calibrates the batteries internal capacity calculation and so ensures the greatest possible accuracy of charge indication After the learning cycle charge the battery fully again so that it is ready for use Note The batteries used for MEDUMAT Transport do not have a memory effect Therefore you can recharge them when they are only partially discharged without reducing their capacity or life But even these batteries naturally have a limited life of approx two years or approx 300 charging cycles 10 3 Accessories Separate maintenance intervals and maintenance volumes apply for the accessories to MEDUMAT Transport Please observe the respective instructions for use 86 Maintenance Oxygen cylinders must be re examined on a regular basis The due date can be found on the corresponding label on the cylinder 10 4 Changing the suction filter Caution Never operate the unit without the suction filter Otherwise the unit s functions may be impai
84. the LED alarm goes out approx 10 seconds 5 14 Calculating the oxygen level operating time Caution When calculating the oxygen level in the cylinder take into account the unit s OQ consumption see 12 4 Oz consumption of the unit on page 100 Otherwise you may miscalculate how long the cylinder will last which may impair the success of treatment Oxygen level in the cylinder Oxygen volume cylinder volume x cylinder pressure Cylinder volume x Cylinder pressure Oxygen content Example 1 10 x 200 bar 20001 Example 2 10 x 100 bar 1000 Available operating time for ventilation V tidal volume x f respiratory rate MV minute volume as a Pp ae Oxygen content 100 Available operating time for ventilation min ixt O2 consumption OF concentration Example 1 O supply 1000 V x f 11 l min 100 O Oz consumption 0 3 see 12 4 O gt con sumption of the unit on page 100 Operation 53 This gives 3 A PE 1000 100 i Available operating time for ventilation min 773 min T00 88 min 1h 28 min If MEDUMAT Transport is operated with an O concentration less than 100 the operating time will increase correspondingly 54 Operation 5 15 Alternative ventilation In the event of the MEDUMAT Transport breaking down during ventilation you have the following alternatives Ventilation bag 1 Pull the pat
85. urce Caution e Risk of insufficient oxygen supply Two oxygen sources can be connected to this unit simultaneously Make sure that only one oxygen source is open at any given time and that there is no gas reflux Otherwise one of the oxygen sources may empty itself unnoticed Sufficient oxygen supply to the patient can then no longer be guaranteed when the unit is in use If desired or if foreseen in your establishment you can connect a second oxygen source e g an oxygen cylinder or a CGC to the O inlet outlet quick connector to the front of the unit Note If your unit is equipped with a DIN quick connector no oxygen can be fed into the unit with the associated DIN gas probe With this combination it is only possible to draw off oxygen Installation 19 3 2 Hose system A reusable hose system is supplied with the MEDUMAT Transport Optionally a disposable hose system is also available The procedure for connecting both systems is as follows Press the ventilation hose onto the corresponding connection on the unit Attach the connector of the BiCheck flow sensor connection line to the corresponding connection on the unit Press the connector contains PEEP control line CO2 removal tube pressure measurement tube onto the corresponding connection on the unit Make sure that the connected tubes are not kinked Caution Only grip the ventilation hose by its ends Otherwise the hose may be damaged
86. utomatic alarm limits Vte T Vte MVe T MVe 4 ft Apnoea etCO T etCO 4 CO i Pressure flow Pressure CO Pressure flow CO Pressure ramp Flow ramp Flow progress Trigger thresholds Brightness Day Brightness Night Volume CO configuration Language Night colours 8 Overview Year Month Day Hour Minute Deutsch English Espa ol Italiano Mode menu activate 3 deactivate BILEVEL Preoxygenation 25 I min 20 l min 15 l min 10 l min 5 l min Symbols used on the display Symbol Meaning Emergency mode Infant ry Emergency mode Child Emergency mode Adult Battery status indicator Overview 9 Symbol Tick box option activated Meaning Radio button function selected Navigate upwards Navigate downwards Increase value Decrease value E a iac Confirm your selection X Navigation knob active 10 Overview Function of the controls during ventilation Depending on the ventilation mode selected you can set the following ventilation parameters using the controls Ventilation Control Control Control Control Navigationknob Function Function mode knob 1 knob2 knob3 knob4 5 button 6 button 7 LE and SVV PEEP Pmax V Freq Selection A pASB Trigger Confirmation LE and SPV PEEP Pinsp Vimin Freq Selection A pAS
87. with highly compressed oxygen e Never use wrenches or other tools to tighten or unscrew the union nuts Removing the empty cylinder 1 Close the valve on the oxygen cylinder Switch on MEDUMAT Transport at the On Standby Off switch This allows the remaining oxygen to escape and the unit is pressure free Only when the contents gauge on the pressure reducer indicates 0 bar can the screwed union be undone by hand 2 Switch MEDUMAT Transport off again 3 Undo the screwed union at the cylinder by hand 18 Installation Connecting a new cylinder 1 Briefly open the valve of the new oxygen cylinder then shut it again This is to blow away any particles of dust Caution e Make sure that the patient is not connected up to the MEDUMAT Transport when you are establishing the gas supply Otherwise the unit s automatic self test will lead to incorrect results e When doing this hold the valve opening away from your body in such a way that any flying particles cannot injure yourself or other people 2 Screw the pressure reducer to the cylinder valve using the knurled union nut Tighten the union nut by hand 3 Screw the pressure hose onto the outlet of the pressure reducer if not already connected using the G 3 8 union nut 4 Screw the other end of the pressure hose to the compressed gas connection of the MEDUMAT Transport if not already connected Connecting a second oxygen so

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