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| YAMATAKE EST0240Z05WBX00 |
2. Use a prefilled nebule or syringe to inject the medication into the filler port. AB.98.295 3. Close the filler cap tab. Disassembling the nebulizer The nebulizer and T-adapter may remain in the patient circuit when not in use. The nebulizer may be removed from the T-adapter and replaced with a plug to avoid leaks. 1. To remove the nebulizer cable from the nebulizer, grasp it close to the ventilator and pull straight out. 2. Remove the nebulizer and T-adapter from the inspiratory limb of the patient breathing circuit. Reconnect the circuit. 3. Clean and sterilize the Pro nebulizer and T-adapter as described in the "Cleaning and maintenance" section. 4 Setup and connections 2065490-001 4-23 Functional test Perform a functional test of Aerogen nebulizers prior to first use, after each sterilization, before each patient use, or at any time to verify proper operation. Inspect all parts before use, and do not use if any parts are missing, cracked or damaged. The time and approximate volume of nebulized medication are shown in the table. The calculated volume is based on an average nebulization rate of 0.38 ml/min, but the actual nebulization rate of each individual nebulizer cannot be guaranteed and may vary. 1. Visually inspect each part of the device for cracks or damage and replace if defects are visible. 2. Pour 1-5 ml of normal saline (0.9%) into the nebulizer unit. 3. Connect the nebulizer. Follow the instructions in Connecting the nebulizer in the Setup and Connections section. 4. Select Menu > Nebulizer > Aerogen. 5. Select Time > 16 minutes. The time and approximate volume of nebulized medication are shown in the table. Selecting Continuous will deliver nebulized medication until medication delivery is stopped or runs out. Time (min) 7 8 11 16 21 26 32 Volume (ml) 2.5 3.0 4.0 6.0 8.0 10.0 12.0 6. Select Start and verify that aerosol is visible. 7. Select Stop to end the nebulizer treatment and verify that aerosol is not visible. 8. Discard any remaining liquid before patient use. Note CARESCAPE™ R860 4-24 2065490-001 Airway modules Airway modules measure and monitor gases delivered to and from the patient. Airway modules have: • Nondispersive infrared technology to measure CO2, N2O, and anesthetic agents. • Paramagnetic technology to measure O2. The displayed FiO2 is adjusted by the ratio of the barometric pressure and 1.3 second moving average of the cyclic pressures obtained by the inspiratory pressure transducer. • Differential pressure detection to measure spirometry inputs from the D-lite(+) or Pedi-lite(+) sensor. • D-fend water trapping system to prevent moisture from entering the measurement chamber. Some measurements are made by internal sensors in either the ventilator or the airway module. The Airway Module (Patient) data icon is shown below the airway pressure bar when selected as the data source. The Ventilator data icon is shown when it is selected as the data source. Ventilator Data Source Icons Ventilator data Airway Module (Patient) data When Airway Module is selected as the data source, the data source icon will not be updated until the module is able to provide information. This may take 2 to 5 minutes when a module is first installed into the module bay. Only information available from the installed airway module will be displayed on the ventilator; all other data will be from the ventilator. For example, if a module capable of measuring CO2 and O2 only is installed, CO2 and O2 data displayed will be from the module; all other data will be from the ventilator. If Airway Module is selected as the data source and the airway module is removed from the module bay, the data source icon will show Ventilator as the data source. Monitoring that is critical to patient safety comes from both the ventilator and the airway module when the data source is Airway Module. In some conditions, alarms might be triggered by the ventilator sensors, while the measurements shown are from the airway module sensors. The airway module spirometry keys do not function when it is installed in the ventilator. These functions are available through the ventilator.
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