Upload
victor-casais
View
222
Download
0
Embed Size (px)
Citation preview
8/18/2019 Ventilador Impact 731
1/100
O M
731 E M (EM +)
I /N 906 EM 02 6.0
I I , I . 27 F C , N J 07006
8/18/2019 Ventilador Impact 731
2/100
2
0470
8/18/2019 Ventilador Impact 731
3/100
3
EM + MAIN FEA E : FIG E 1
8/18/2019 Ventilador Impact 731
4/100
4
ABLE OF CON ENLI OF FIG E ....................................................................................................................................... 6
CON EN ION , E MINOLOG AND ABB E IA ION ............................................................................. 7
IN ENDED E ......................................................................................................................................... 8 ACCE O IE LI .................................................................................................................................... 9
LIMI ED CO IGH ELEA E ................................................................................................................ 11
A NING AND CA ION EGA DING E ........................................................................................ 12
EM + AND L E O IME E ...................................................................................................................... 12
MBOL AND ICON ............................................................................................................................. 15
N ACKING, A EMBL AND CONNEC ION ......................................................................................... 16
E ................................................................................................................................................... 17
E E NAL GA O CE ........................................................................................................................... 18 EN ILA O CI C I CONNEC ION ............................................................................................................. 20 EN ILA O CI C I A IEN CONNEC ION ................................................................................................. 21 EN ILA O CI C I E I ANCE AND COM LIANCE ........................................................................................ 22
O E A ING O E ELEC ION& O ING .................................................................................................. 22 ELF CHECK ............................................................................................................................................ 22
AN D CE CALIB A ION ........................................................................................................................ 23
O E A ION O E IE ......................................................................................................................... 24
IN OD C ION ....................................................................................................................................... 24
DE C I ION OF CON OL AND DI LA ............................................................................................ 27
CON OL ............................................................................................................................................. 28 I AL INDICA O ................................................................................................................................. 35
LCD ALA M INDICA O .......................................................................................................................... 37 ALA M N OFF & CANCELLA ION ........................................................................................................... 38
O ME AGE ................................................................................................................................... 39
O E A ION ............................................................................................................................................ 40
MODE OF O E A ION ............................................................................................................................. 40 ADJ NC O MODE OF O E A ION ........................................................................................................... 41
ON ANEO / A I ED B EA H IGGE ................................................................................................... 42 O E A IONAL E OCED E .................................................................................................................. 42
O BEGIN EN ILA ION ............................................................................................................................. 43 O CHANGE E ING ............................................................................................................................... 44
BACK EN ILA O ............................................................................................................................... 45 L E O IME E ..................................................................................................................................... 45
H MIDIFICA ION ..................................................................................................................................... 45
HA A DO EN I ONMEN FIL E .................................................................................................... 47
BAC E IAL/ I AL FIL E E ..................................................................................................................... 47 CHEMICAL/ BIOLOGICAL FIL E E ............................................................................................................. 47 CHECK AL E ON B EA HING CI C I HEN IN HA A DO EN I ONMEN ......................................................... 48
HA H EN I ONMEN O E A ION ....................................................................................................... 50
8/18/2019 Ventilador Impact 731
5/100
5
AI BO NE A IC LA E .......................................................................................................................... 50 E EME EM E A E EN I ONMEN ...................................................................................................... 50 AL I DE .............................................................................................................................................. 50
AIN AND NO ..................................................................................................................................... 51
ALA M F NC ION ............................................................................................................................... 53
ALA M IO I IE ................................................................................................................................... 53 EN ILA O ALA M CA EGO IE ................................................................................................................ 54
L E O IME E ALA M ......................................................................................................................... 57
O INE CA E: CALIB A ION, CLEANING AND E EN A I E MAIN ENANCE .................................... 59
CALIB A ION CHECK ............................................................................................................................... 59 GENE AL CLEANING ................................................................................................................................. 59
E EN A I E MAIN ENANCE .................................................................................................................... 59 EMO ABLE FOAM FIL E E LACEMEN ...................................................................................................... 60
F E H GA / EME GENC AI IN AKE DI K FIL E E LACEMEN ......................................................................... 60 O CON AMINA ED EN I ONMEN CLEANING ............................................................................................ 60
BA E CA ACI , CA E AND ECHA GING ........................................................................................ 62
BA E CA ACI .................................................................................................................................. 62 BA E CA E AND CHA GING ................................................................................................................... 62
IN CA E OF DIFFIC L .......................................................................................................................... 63
O E A O CO EC ABLE OBLEM ........................................................................................................... 63 O E A ING OBLEM E I ING E ICE ................................................................................................... 63
O AGE INFO MA ION ....................................................................................................................... 63
LIMI ED A AN .............................................................................................................................. 67
A ENDI 1: ALA M ............................................................................................................................ 68
A ENDI 2: NE MA IC DIAG AM ...................................................................................................... 87
A ENDI 3: L E O IME E INCI LE AND ECIFICA ION ........................................................... 88
A ENDI 4: IN E NAL BA E CHANGE/ IN E ION ......................................................................... 90
A ENDI 5: IN E NAL FIL E CHANGE/ IN E ION ............................................................................. 91
A ENDI 6: E OF LO FLO O GEN ............................................................................................. 93
A ENDI 7: ECHA GING G IDELINE ................................................................................................. 95
A ENDI 8: O ME AGE LI ...................................................................................................... 96
8/18/2019 Ventilador Impact 731
6/100
6
LI OF FIG EEM + MAIN FEA E : FIG E 1 ........................................................................................................... 3 CONNEC O ANEL: FIG E 2 .............................................................................................................. 17 E E NAL GA O CE : FIG E 3 ...................................................................................................... 18 F E H GA /EME GENC AI IN AKE: FIG E 4 .................................................................................... 19
EN ILA O CI C I , DE ICE CONNEC ION : FIG E 5 ....................................................................... 20 EN ILA O CI C I , A IEN CONNEC ION: FIG E 6....................................................................... 21
CON OL AND INDICA O : FIG E 7 ................................................................................................ 26 E AM LE O LINED / NO MAL E : FIG E 8 ................................................................................... 27
I AL INDICA O : FIG E 9 ............................................................................................................. 34 ALA M & LO LI : FIG E 10 ............................................................................................................ 37
O ME AGE E AM LE: FIG E 11 ............................................................................................... 40 CHECK AL E CONNEC ION O B EA HING CI C I : FIG E 12 .......................................................... 48 HA A DO EN I ONMEN FIL E : FIG E 13 ................................................................................. 49 ALA M DI LA : FIG E 14 .................................................................................................................. 52
NE MA IC DIAG AM : FIG E 15 ...................................................................................................... 87 L E O IME E DI C E E A A ION AN FO M: FIG E 16 ..................................................... 89
BA E CHANGE IN C ION : FIG E 17 (A) (E) ............................................................................ 90 FIL E CHANGE IN C ION : FIG E 18 (A) (I) ................................................................................ 91 O GEN E E OI BAG A EMBL ( A #704 0004 00): FIG E 19 ................................................ 94 EM + O AGE CA E ( A #703 0EM 03): FIG E 20 ...................................................................... 95
8/18/2019 Ventilador Impact 731
7/100
7
CON EN ION , E MINOLOG AND ABB E IA IONCON EN ION
A NING!
A WARNING a a a a a a a a a , a .
CA ION!
A CAUTION a a a ab a a a a a a a a a , a a a
.
NO E:
A NOTE a a a a a .
ABB E IA IONA/C A /C LED L E DACL A a Ca a L S L M L M AL A a L S M A L A a T a a L S M
AC A C V a N N a P PV a
A D A T a a P , D O2 OB M B a M A a PB/ Ba a /V a F EE P E E a P
H 2O C Wa I P a I a PC Ca a R a P S a I Ga DI D a I Sa S U S a P a a aFIO2 F a I O AC V ACHME H a a M E a DC V DCHME/B H a a M E a /Ba aV a b T a V
H H (a , ) OB W B aID I a D aL L
8/18/2019 Ventilador Impact 731
8/100
8
IN ENDED ET M 731EMV+ (EMV+) a a a a a a
≥5 a a a a b a . I a a a , a ,
a a a b a , , a a a a . W a a a a a , a b a
a a / b a a ( E a F U ). I a . T EMV+ b a
a a a , a (EMS) a ba a a a a b a .
T EMV+ a a a , ab , a ab a a a a a a a . I a b a (A
ATLS, ACLS), a a a . Ea , ab , a ab , b a a a a , ab a a a a I a a
.
FEA E • P ab a a a a a b a , a a a
a , a a a a a
• M a a a a b a ba a .
• I a a a a a a a a a a .
• L (9.7 b , 4.4 ) a a
• R a ab ba 10 a (a a a
a ).• O a a a 25 49 C (I a I a a a ) a
10 40 C (SGS ).
• A a 2000 25,000
• S a a a a O2.
• Ga a a a b a O2 . . A O2 a , a a .
• S a a a a /b a a a b a a .
• S a a a a a a .
8/18/2019 Ventilador Impact 731
9/100
9
HI ING CON EN NO E: S a b a a ba
a a . P a a .
ACCE O IE LI T A L a , , a
a EMV+ a . Ea b a b . A a b I a a b . W , a a
b , a a .
:I a I a , I .P.O. B 508 T : 973/882 1212W Ca , N J 07007 0508 Fa : 973/882 4993
E a :G N G
a @ a . a @ a .
A N MBE A DE C I ION024 0012 00 AC/DC P S , 110 240 VAC, 100Wa 24 V 4.2A, IEC320 P708 0042 00 AC P , 6 , (U S a V )402 0032 00 Pa a a , a , a a465 0024 00 F , Ba a /V a (B/V)465 0025 00 F , HME/ B/V, H a a M E a465 0027 00 F , D , B/V, E A I a465 0028 00 R ab a 820 0108 00 H a a M E a (HME), A820 0109 00 H a a M E a (HME), P a820 0110 00 H a a M E a (HME), I a704 0004 00 A b , K , O2 R , 3 L
704 0EMV 05 A b , Cab , DC, E a P , 28 V704 0EMV 06 A b , Cab , DC, E a P , 12 V708 0036 00 P O P b S , A R ab708 0043 00 P O P a , R ab708 0037 00 P O Pa Cab , R ab708 0039 00 P O A Ea , R ab708 0047 00 P O I a , S Pa U820 0106 00 C , V , S L b, P a /A ( ab )820 0106 15 C , V , S L b, P a /A ( ab ) ( a 15)820 0107 00 C , V , S L b, I a /P a ( ab )820 0107 20 C , V , S L b, I a /P a ( ab ) ( a 20)825 0002 00 H O H , DISS DISS, , 6
907 EMVP 01 Q R G , a a906 EMVP 02 O a Ma a (C a )909 EMVP 02 CD a O a Ma a (C a )703 0731 03 Ca a Ca F a I , R a ab703 0731 11 A b , Ca , T a Ca703 0731 12 A b , Ca , T a Ca , / AC B a C703 0731 13 A b , Ca , T a Ca , / AC B a & USB C703 0731 14 A b , Ca , T a Ca , / W & P O Ha
8/18/2019 Ventilador Impact 731
10/100
10
A N MBE A DE C I ION703 0731 15 A b , Ca , T a Ca , / W & P O Ha , AC B a
C703 0731 16 A b , Ca , T a Ca , / W & P O Ha , AC B a & USB
C703 0731 01 A b , Ba Pa , L I , 6.6 A
704 0EMV XX E C 8 US H a G a F a P ***708 0041 XX C , 6 , IEC 60320 C5 P ***704 0700 01 C Va K812 0011 00 Ma , CPAP, #6, La A812 0010 00 Ma , CPAP, #5, A812 0009 00 Ma , CPAP, #4, C812 0008 00 Ma , CPAP, #3, S a C812 0007 00 Ma , CPAP, #2, I a812 0006 00 Ma , CPAP, #1, S a I a334 0125 00 Ha , Ma , U a
*** C S (C a a a # a )
8/18/2019 Ventilador Impact 731
11/100
11
LIMI ED CO IGH ELEA EP b a a a / a a a a a
a a / a a a a / a aa .
MA IMO L E O IME ET Ma SET a a a a U.S.A. a : 5,758,644, 5,823,950, 6,011,986,6,157,850, 6,263,222, 6,501,975 a a ab a a . a . / a . .
E BH 2866436 A A
:AC .
27 F , C , 07006, . .A. B 508, C , 07007 0508, . .A
8/18/2019 Ventilador Impact 731
12/100
12
A NING AND CA ION EGA DING E EM + AND L EO IME E
A NING! E a a : D a ba ! Aa a a a a b a a . R
I a a a I a S C a .
A NING! T b a ! T a a a a , a a a a , a a b !A NING! P b a a a ab a
a ab b a b a a , !A NING! D a EMV+ b a a
b a b EMV+ a . (T EMV+ a b EMC a a M a M STD 461F a
C a IEC 60601 1 2 a FDA R G a a .)A NING! G :
• C EMV+ a , , a a a ! T b a a ; a a
a a ab , a a a a a a a • D a a !• D a a a ! T a b a a
a a .• I a b ab a a a , a
a ba AC A NING! T a a a , a
a !A NING! D a a b !A NING! D a a b a a !A NING! A a a , a a a b , aab , a a ab b a a a a
A NING! D a EMV+ a a a a a a ! D EMV+ b , a a
ab !
A NING! D EMV+, aa a (MRI) a ! I a a b . T EMV+ a / a a MRI a a MRI a a EMV+ a a a
a .A NING! T EMV+ b a AC AC .
T EMV+ a a a a a IEC 601/F aa ab a IEC 601 1 1.
A NING! USB I : D a a a USB a .NO E: T USB a a .
A NING! T I a a ab a a aa a a . I a a a ( . .
a , .), a a a a . I I a a , a a a
a .CA ION! F a a a b a a .CA ION! S b b a b a a .CA ION! I a a b a a a a . D
.
8/18/2019 Ventilador Impact 731
13/100
13
NO E: T O a Ma a a a a a a a a a a .
NO E: F a a a a a a a .NO E: F a a a a a a a a b b NO E: F a a a L ba .
L EO IME E ECIFIC A NING AND CA ION A NING! A b a a a a . A NING! A b a a a . A a a a
a a , b a b a a b a ab a a a .
A NING! MEASUREMENTSI a a a a a ab , a a ba a a a .I a a a a b a b :• I a a • S a a b ( . ., a b b b )• I a a a a a b• E a , a a a ( a a
b b a , , a a a , ( a a b b a a a a a )
• E a • V a• P a a a a b , a a a , a a
• T a b b a , b a a b a a a .
A NING! I S b a : Ca b b a a a . T a a a a a a b b . D , a b a
a , a a a a a a a a a . A NING! ALARMS C a a a a a
a a a b . A NING! L a a a a :
• T • T a a a a a , a b b a , • A b a a a a S O2 a a• T a a , a , a a, a• T a a a • T a a a a
A NING! S :
• B , a a LNCS .• U Ma S O2 a . O a ( )
a a a .• T a a a b a b a a a LNCS , a b
a . I a D a a a .• D a a LNCS . D a LNCS a . D
a , , a ( a a a ). D b a a , a . S a
ab Ma LNCS .• D a a a ab . D a ab a ,
a ( a ab a a ). D b a a , a . S a ab Ma a ab
8/18/2019 Ventilador Impact 731
14/100
14
CA ION! P a a a ab , a , b a
a a . I a a a a ab .
8/18/2019 Ventilador Impact 731
15/100
15
MBOL AND ICON(U EMV+ a a a )
8/18/2019 Ventilador Impact 731
16/100
16
N ACKING, A EMBL AND CONNEC ION
N ACKING
C a a a a S C . E a a a a b a a . I a a a a a a , a
a a a b a a .
A EMBL
T EMV+ a a a a b a b a a a . B a a b a a a a a a
a a .
T EMV+ ba a b a ( a a a a b Ba Ca a R a ). Ba a a
a b a . (S A 4 Ba I a a .)
CONNEC ION
O GEN IN a a a O2 a a a a a
a (USP) O2 . T OXYGEN IN a a a D a I Sa S (D.I.S.S.)a . I a C Pa a ( F 2). A ( a a ), 6 a b a
b a O2 . (A Ha E O a ).
NO E: I a O2 a b a a 41 ( 2 ) SELF CHECK .
GA O a 22 ID a . T a 22 a a . I a C Pa a ( F 2).
F E H GA /EME GENC AI IN AKE a a b a EMV+ a . T a a a a a a a a a b a a b a
a a a . T a a a a a a a a ba a / a a a /b a a b ( F 2
AN D CE ( A ) a 3/16" ID a b .T ba b a /b ( F
NO E: T 3/16" ID a a b a /b ( a ) . I a C Pa a .
E HALA ION AL E a 1/4" ID a a a b . T ba b a a a ( F 2).
NO E: T 1/4" ID a a a a b a . I a C Paa .
E E NAL O E IN T E a P I a . Ia DC a b 11 a 32 ( a ). T a
AC/DC P S , 12 a 28 VDC P Cab (b a a a ab aa ) a ba ( F 2).
8/18/2019 Ventilador Impact 731
17/100
17
CONNEC O ANEL: FIG E 2E
T EMV+ a b a a . A a , a a a a b a a .
1. F a O2: a ( a a ) O2 OXYGEN IN a a 55 a .
NO E: U a a (USP) . W a , b .
2. C ab a GAS OUTPUT, TRANSDUCER, a EXHALATIONVALVE EMV+ C Pa . F ab
a .3. I a b a , a ba a / a b a a FGa /E A I a a a a b a a . (S
Ha a E F .)4. I b a a a a a a a /b a
F Ga /E A I a . T a a a a a /b a a R 40 1/7 a ( BS EN 148 1 1999 R a
a a ). (S Ha a E F .)5. F AC : AC/DC P S ( ) E a P I
( F 2).
NO E: T EMV+ a a a ba a AC DC . S O a P S & S a .
A NING! A a a a a a a a a . A ba aa a a a a a a b a b a a a ab
A NING! T USB ( ab ) a a O a . I I a I a a . T O a
a USB .
HIGH PRESSUREOXYGEN INPUT
GASOUTPUT
EXTERNAL POWERINPUT
USB
CONNECTOR TRANSDUCER (PATIENTAIRWAY
PRESSURE) PULSEOXIMETER
CONNECTOR
EXHALATIONVALVE
FRESHGAS/EMERGENCY
AIR INTAKE
8/18/2019 Ventilador Impact 731
18/100
18
E E NALGA O CE T EMV+ a a O2 b O2 O2 , a a F 3.
E E NALGA O CE : FIG E 3
8/18/2019 Ventilador Impact 731
19/100
19
T a a a & , a a a a b a . T a a a a a a
(ba I a Ga La ) b . A a a a a. I a a b a a b 300 .
V a = 9540 a 1 a / 70 F (21 C) : ab
P a = 2640 : ab P = 300 : a V = a = (P/ P a ) V a = 1084 a 1 a / 70 F (21
C)V = 9540 1084 = 8456 a 1 a / 70 F (21 C)
F a a a (20 BPM, V = 500 , FIO2 =100%, I = 1 , I:E = 1:2.0), a 10 / .
NO E: W a O2 , EMV+ a a a O2 a aa FIO2 a a . (S O2 U FIO2 D C a D a .
T a a a ab a = V/ (10 / ) = 8456/10 = 14
F E H GA / EME GENC AI IN AKE: FIG E 4
A NING! N b FRESH GAS/EMERGENCY AIR INTAKE. A a a a a a a b a . T FRESH
GAS/EMERGENCY AIR INTAKE a a a a a a a a a a .
8/18/2019 Ventilador Impact 731
20/100
20
EN ILA O CI C I CONNEC ION T EMV+ a a a a ab a . T a a
a a F 5.
EN ILA O CI C I , DE ICECONNEC ION : FIG E 5
CA ION! A a a a a b a a a a a . R a a a b
a .
8/18/2019 Ventilador Impact 731
21/100
21
EN ILA O CI C I , A IEN CONNEC ION
T EMV+ b a ≥5 a :I a / P a (Pa #820 0107 00) a P a /A (Pa #820 0106 00). T a a F 6.
EN ILA O CI C I , A IEN CONNEC ION: FIG E 6
8/18/2019 Ventilador Impact 731
22/100
22
EN ILA O CI C I , E I ANCE ANDCOM LIANCE T a a a I a a a ab b :
( )
BC
I
N
I
( H 2O)
E
( H 2O)
F ( / )
C( / H 2O)
D
( )A ≥ 40 P /
A#820 010600
1.44 4.82 60 1.2 17
P a 12 50 P /A
#820 010600
0.39 2.99 30 1.2 17
P a 12 50 I a /P
#820 010700
5.99 5.21 30 0.44 4.2
I a 5 12 I a /P
#820 010700
0.24 1.78 5 0.44 4.2
A NING! I a / a a a a a a a , O a a a a a a / a
a a a a a a a ( ) / a a a a a .
O E A ING O E ELEC ION& O ING
T POWER a . U a a .
T EMV+ a a :
1. I a 14.8V (L I ) a ab ba 6.6 A a a ( a , ba 10 a a a a
a a 25 C).2. E a AC/DC P S (110 240 VAC 50/60 & 400 H I a I a
a a , a 110 240 VAC 50/60 SGS ) IEC 320 AC ( ). T AC/DC P S a DC 24V a 4.2A.
3. E a DC a a a DC 12 28 VDC P Cab .T EMV+ a DC a b 12.5 28.0VDC +/ 10% , a .
CA ION! W a a DC , b a a a .
A NING! N a a a . A a a a , a , a a , a a . A a a a a a
a a .
T EMV+ a a a ab a a a ba a . Wa a ab a , a ba a a a a a
a . W a a a , EMV+ a a a ba a a a a a E E A E F A E a a ;
a a / a a a . W a , a a a a a a .
ELF CHECK A a EMV+ a a a a a a a a
. F a , a a . T b a b a ( a ) a . V a
a b a .
8/18/2019 Ventilador Impact 731
23/100
23
A NING! U a a a a a a a a a a a , a b a .
AN D CE CALIB A ION(A O CAL)T a a a a . P a , a
a b a a b a a a . T a a a a ba a a a a a a a , , a
a a .
T AUTO CAL a 3 a : C F , O2 F a A a P . I a a a a a ( ). T AUTO C
SELF CHECK, a 5 a . H , a a a +/ 1.5 C , AUTO CAL a a a a a a ab
a ba .
8/18/2019 Ventilador Impact 731
24/100
24
O E A ION O E IEIN OD C ION
T EMV+ a a a , a (O2) a 55 a a a bT a a a a a EMV+ b a a a
a .
W O2 a b a FIO2 b 21 100%.Ba a a a a , ,
FIO2. W FIO2 21%, a a a O2 a FGa /E A I a ( A 6: U L F O ). A a a a a a a a a b a
a a a a . W a a a a a b a b a a a a a LCD A a M a C .
O a a a AC/DC AC a , a DC, a a ab ba . F a a a a
, a , a ba a / a a a /b a a a .
W , a a a a a 120 ,a a a a a , a a a
a a a . F a a a , A a T O &Ca a . T a a a b a a .
L EO IME E A a , a b ( a a ). I a b ,
a a S O2 a H a Ra a b a a a a a a . A a a a a ≥ 10 , a b a aa a , a a a a a a . T a b a P O
b a b a b . S a , b a a , a b a ba a b a P
O b . S A 3: P O P a S a .
T a a b a ab a a a O2 a a a a b (S O2) a a ( a b
S O2 ) a , a a a a a a a . T a a a a ab a a a a
S O2 ( F 5).
T a , b a ab a a ab S O2 EMV+. T a a a
S O2 a . S P O A a V a A a Ca
a a a .
NO E: T a b a a b b a . A a a a a a b a b .
T a a b a b :1. T .2. T a a a a a , a b b a ,
.
8/18/2019 Ventilador Impact 731
25/100
25
3. A b a a a a S O2 a a .4. T a a , a , a a, a.5. T a a a a .6. T a a a a .
8/18/2019 Ventilador Impact 731
26/100
26
CON OL AND INDICA O : FIG E 7
8/18/2019 Ventilador Impact 731
27/100
27
DE C I ION OF CON OL AND DI LA
T EMV+ a a a a a a a a a a a ba a . A a a (LCD) a
a , , a a a a a . T a a a a
F 7 ( a a a b a ). M EMV+ a b PARAMETER b a a a a
a . P PARAMETER b a a a . A a a a a a . W a a a
, ROTARY ENCODER a a a a a a b CONFIRM/SELECT b . O
a a a b a a a . T a a a aa a a a b MUTE/CANCEL b . A
a a a 5 ; a a a a a aa a . A a a a a a a a C M a a b a (P&H) a a b 1 .Pa a a a a C M a b b .
T a a a a a a b a a a a a EMV+ O a a a , F 8.
Pa a O a b a . F a , a a Pa a a b a a a a a
a a a .
E AM LEO LINED/ NO MAL E : FIG E 8
8/18/2019 Ventilador Impact 731
28/100
28
CONTROLS T C Pa a a a LCD a . Ea b
( F 7). C M a ab a a a a b .
H (1) P HR b H H a Ra a a a ab a b
a . P HR b a a L H a RaA a L a ab a b a . T HR a a a a . B a a ab 1 b/ . T a a a a
a a 120 b/ ; a a 40 b/ . T a HR a (P&H) HR a a b . T HR
.
M C M
M I D
Averaging 2-4, 4-6, 8, 10, 12, 14, 16(t=sec) Adjusts the SpO2 and HR averagingdurations
Sensitivity Norm, Max
Default: Norm, adjusts the plethsignal sensitivity. Max is designed tointerpret and display data for eventhe weakest of signals. This more isrecommended during procedures and whenclinician and patient contact iscontinuous.
Fast SAT Off, On
Default: off, Fast Sat enables rapidtracking of arterial O 2 saturationchanges by minimizing the averaging.This mode is clinically applicableduring procedures when detecting rapidchanges in SpO 2 is paramount suchinduction, intubation and sleepstudies.
APOD Off, On
Default: Off . When On , this modeimproves detection of the probe offpatient condition, but reducesability to acquire a reading onpatients with low perfusion.
Signal Strength 0 to 20
Current signal strength value, notadjustable. A value of zero indicatesthat no measurement is available. Thisvalue helps clinicians place sensorson optimal sites.
Signal IQ Bar graph Bar graph displays the relativereliability of the pulse ox signal
O2 (2) P S O2 b L S O2 A a L a ab a ba . T S O2 a a . W S O2
b a a a a a b , b a a a . T a S O2 a a a 94%.
S O2 a C M a HR.
FIO2 (3) P FIO2 b a a ab b a . T a a ab a a a . T a a a a 21% O2 . I aFIO2 a a a 21% a a P U , a a aFIO2 a O2 . I O2 , a FIO2= 21% a 2 E E a a b a a . T a a a a
8/18/2019 Ventilador Impact 731
29/100
29
O2 U1. T ( / ) O2 b a
a . O2 R a a a + FIO2 a . (T O2 U a O2 O2 R .)
I ( EAK IN I A O E E) (4) I a , a PIP a . I a , PIP a a a a ab . T
H L , PIP L L , a PEEP a a a a ab a a a a .
I C M
M I D
Pressure Support 0 to 60 PS value is the pressure over the PEEPsetting
P S : T a a a b a a a a ab SIMV a CPAP. F a , A a M O a .
NO E: PIP a a a 60 H2O a a a a .
( IDAL OL ME) (5) I a , a a . I a , a a a ba aa a . T VT H a L L a a a a ab a a a a .
NO E: I CPAP NPPV, VT a V a b a a a a . T O2 U a a a a O2 a
b a a a .A NING! I CPAP NPPV, VT a a a ba a , a
a a a ab a a a a .
B M (B EA HING A E) (6) BPM b a a ab ba . S a a a b a a , b a a a I:E a a b
a b PARAMETER b a a b . W EMV+ a CPAP a a a b a a a a BPM a a a
.
B M C M
M I D
ControlParameter I:E, TI
Allows operator to select independentvariable
Rise Time 1 to 10Determines the speed of the rise flow,low values fast rise, high values slowrise
Cycle Off % 10 to 70% (default 25%) Allows operator to adjust Cycle Off %.
C Pa a : a a a a .S I:E a a a I :E Ra a (TI)
a b a a a . S TI a a a a a I:E a a a a .
1 O2 U = ((FIO2 0.21)/0.79) * M V FIO2 a a a a a a ( a a /a b a ).
8/18/2019 Ventilador Impact 731
30/100
30
R T : EMV+ a a a a a a a a a a b a a
b . T a 1 10 1 a 10 . W , a R T (3) a U S R T b . U P T a a a a
R T .
T R T b a a a a a a a a a ab . T a b a a a
, a a a RT :
• Pa a a• Pa • Pa a• R a (M a a / P a )• C a a a
T R T a a a b a a a , a a a .
5 120 350 5200 10
A a R a a b a R T 3 4 ab a . R T 8 10 a a a a . (T a
> 60 LPM.)
C O %: EMV+ a a a C O %. T a a a a a a a a a a a
b . A a a C O % a a a a a a .
NO E: T a a a b a 5 . A , a a a a a . (A b a a
.)
• C O % a a a a ab a a a a NPPV , a b a a a . I a
a a a a , b a 5 a . T a a a b a 2
a , .
• I a , a C O % a b a , . I , b a a a a
a a a a b a .
NO E: C a a a a C O % a a a a a a a a .
8/18/2019 Ventilador Impact 731
31/100
31
MODE (7) P MODE b a . P a a b a a a a a a
(V) (P) . S a a a a a a a . P a a a
a a a a a a a a . A a M O a NPPV (N a P
P ) a M a a . T a M C P&H Ma a b . T A a Ba U b .
M C M
M I D
BPM 1 to 60 Allows operator to select BPM forApnea Back Up.
PIP Target 10 to 80 Allows operator to select the PIPTarget for Apnea Back Up.
I:E, TI 1:1 to 1:99, 0.3 to 3 Allows operator to select either I:Eor TI for Apnea Back Up.
W A a Ba CPAP (b NPPV a PPV), a a a P ba :
PIP Ta BPM I:E OR TI20 12 1:2.5 OR 1.42
A a a a a . W a CPAP, a b P Ta a A a Ba a .
CA ION! T A a Ba a a a a a . T O a a a a a a .
CONFI M/ ELEC (8) CONFIRM/SELECT b a a . T CONFIRM/SELECT b ab a a
√ .
O E OFF/ON (9) POWER OFF/ON a a EMV+.
MAN AL B EA H (10) a a b a b b a ba VT PIP . I Ma a B a a b ba a
a , a a a b a b . I a a , b a a a b a . T a a b a a . W a
CPAP, a b a PIP a A a Ba
O A ENCODE (11) ROTARY ENCODER a a a a a a .
M E/CANCEL (12) MUTE/CANCEL b M P a a , a /a L P a a a a a a ( a : aa a a a ). P MUTE/CANCEL b a a b a a
a a a a . T MUTE/CANCEL b ab a .
MEN (13) MENU b a a a . U a a CONFIRM/SELECT b a
. P CONFIRM/SELECT a a a a ab a b
8/18/2019 Ventilador Impact 731
32/100
32
a a . T a a a a CONFIRM/SELECT ( a a a ab ba a a ab ). F
a a CONFIRM/SELECT a b aa a a a a a b ab . A a
a a a a a , MENU MENU b MUTE/CANCEL b .
1. A a C a : a a ab a b a b a a aa a a a a a a . W a a a a a b ab , a a a a b ab
a b . T a a a a a a b a a a a a a a a a a a a .I a a L P a a a A a a a a a , b a a a a a
a . F a , A a T O a Ca a .
2. P U S : a a a aa . T a a a a
a . T a 3 : a , 1 a 2. U 1 a 2 a
a ab a ba a a
I a I a I . a a a , a a a a a a
. T a a a a a a EMV+ a A PaCa a a a a . T a a a a ab A a a . I a a a a a a a
a a EMV+ a A a A C V aa a a a a b a a a a a ab a
a b a a a a a .
I a a U a a a USER S a a a a
b a a ba a a a a a a . R a a a a
a a a a a a a a a a a , a a a a a a a a ab aU a a a a .
T a a a , MENU b , POWEUP SETTINGS; SAVE SETTINGS a 1 2 a CONFIRM/SELECT. T a , POWER UP WITH a
a a a CONFIRM/SELECT. A a b a a a . T b a
. L a a ab b . D a
a a AC a SIMV; CPAP a b a a a a .
Pa a L aV S ≤1000 V H L 10 , a a SIMV(V)V L L 10 , a a SIMV(V)C a I . a I:E N Ta (P V) N BPM 6 60BPM H L N BPM L L >6 b
8/18/2019 Ventilador Impact 731
33/100
33
I N PIP Ta ≤35 H2OPIP H ≤35 H2OPIP L L N PEEP N
CA ION! T O a PIP L L b a a PEEP + 5. T
a . I PIP L L > PEEP a
8/18/2019 Ventilador Impact 731
34/100
34
I ALINDICA O : FIG E 9
8/18/2019 Ventilador Impact 731
35/100
35
I ALINDICA O LCD a a a a , / , a a a
a a a, a a, a a a a a ( F 9). W a a a ,a a a a a a a a a a a a a a
a b a a a a .
H (A) a HR a L /H HR a a . A a a a . T a a a a . I a HR a S O2 a a a . W a a a
, a . W a a , a a a aa a . W a L a a , .a a a , LED a a a a a a
.
O2 (B) a S O2 a L /H S O2 a a .
FIO2 (C) a a O2. T a a O2 U a .
I (D) a a a a , PEEP a L /H PIP a a . D aa PIP a a a a a a a a .
(E) a a a a . D aa a a . T a b a b
(D ) . I a a H a L a a a aa .
B M (F) a b a a . I a H a L b a a a a a I:E a a ( a a ) a a
D a CPAP BPM a a a a a a b a a .
MODE (G) a a a b a a ( ) ( ) .T a a NPPV a (N a PP ) a PPV a (P P V a ).
A INDICA O LED A A (H) T STATUS INDICATOR LED ARRAY a , a LED . D a a STATUS INDICATOR LED ARRAY ab .
L E/ IME LO (I) a P O a / a aa a .
E E/ IME LO (J) a PIP / a a aa . T b a PIP a , a a a PIP ab / b
PIP . T a a b a a a a .
NO E: W a a a , / a / a a . Wa a , a a a a a a a ( F10). W a L a a , a . F a a a , LED a a a a a a
C EN MODE (K) a M a a a a ( a , CPAP +NPPV, AC(V ) .) T a (PS) a b b
a a PS ( a , PS (40)).
8/18/2019 Ventilador Impact 731
36/100
36
E E NAL O E I /I a (L, 1 ) a a . W a , / a a a a . I aE E A E
E E A E F A /D C EC a a , a / .
BA E I /I a (M, 2 ) a (1) a a ba , (2) ba a a (3) ba a a . T BATTERY a a a
a a a a . W ba a , a a , a a , b . T a
a ba a a a a . Ta a a ba . W ba a ,
a . Ea a a 5% ba a a . Da ba a , a a a 5% ba a a . T
BATTERY a / aB A E E a a . T a / a a a a ba .
O GEN L I /I a (N, 3 ) a a O2 (55 ). T a a a O2 b
a . T a / OXYGENLOW/FAIL a a .
EAKE (M E O NM E) I /I a (O, 4 ) a a a ab a . T a a 2 ,
a a .
HEAD I H MA K I / I a (O, 4 ) a NPPV a a a b a a . T a a
a / a L a a . (T a a a M a a a b .)
ALA M IANGLEI /I a ( , 5 ) a a a a a . T a a a b a . (S S b a I ab .)
AI A E E/MEA ED AL E ( ) a a a a . Iab a 10 100 H2O ATPD a a 1 H2O/ . T ab a a a 10 H2O a a a a a 0, 50 a100 H 2O. Ab ba a a a , a a a (MAP) a a a b a a ( a ) a a .
8/18/2019 Ventilador Impact 731
37/100
37
LCD ALA M INDICA O T EMV+ a a a a a a a
a a a a a a . A a a a , a a aa a a a ( F 10). T a
a b a a a a a a a a . W
a a a a a ba a . R A 1: A a a a a a a EMV+ a a
.
ALA M & LO LI : FIG E 10
F 10 a a a a a a a . T A a a
a a b a a . T O a a a a a b a . a a 5 a a , a a a a , a a
a b P a P / T .
I a a a L P , L P a a a P aP /T a a a . I a a a M P ,
a M P A a a 20 . T a a b a a a M P A a a / P 20 , a ab a
. N A a a a .
T LCD A a a a :
G EEN T LED a a a a a a a a a a aa a a a a .
ELLO T LED a a a a a L P a a a b a a a a . T EMV+ a a
LED a a a a a a , a . Aa a a a b a b ab a . W a , a L P
a a a . W a a a b
8/18/2019 Ventilador Impact 731
38/100
38
M /Ca b LED a a a a a b , a a a A a a a a a
LED a M a H P A a .
ED T LED a a a a H a M P a a . T A aLED a a a . W MUTE/CANCEL b LED a
30 a a b a a M P a a .P MUTE/CANCEL b H P a a a .
ALA M N OFF& CANCELLA ION T O a a , ba a a a ,
a a a a a , a , a a a a a a a a a a a . B a a a a b a , O a
a P U a a a a a a ba a ab a .
A M W , a a a a a 120 ,a a a a a a a . T
a a a b , 120 a . T a a a a a :
AN
A N
2062 E a a Fa2070 A a P H2071 L A a P2072 H T a V2073 L T a V2074 H B a Ra2075 L B a Ra /A a2076 A a2090 PEEP L a2095 I F2100 Pa D2170 S a B a PIP H2171 S a B a PIP L2172 S a B a V H2173 S a B a V L2300 P O M Fa2301 I a C a Fa2314 S O2 S O Pa2401 S O2 L
2410 H a Ra H2411 H a Ra L (P Ra L )3300 S O2 S (MS 11 Fa M N I U )
3301S O2 S (C a Fa EMV+ P O MN I U )
3310 N S O2 S C (N S C )3311 D S3312 S O2 P S a
8/18/2019 Ventilador Impact 731
39/100
39
AN
A N
3313 S O2 S a I3315 T M A b L3316 I a S O2 S (U S )3317 L S O2 P (L P )3318 L S O2 P ( S O2 a )
A O E LI O a b a a a , a a a b a P U a a . T a a a :
1) H B a Ra (A a # 2074)2) PIP L (A a # 2071, 2171)
a. T a a a a NPPV.3) VT H ( A a # 2072, 2172)
a. T a a a a NPPV.4) VT L (A a # 2073, 2173)
a. T a a a a NPPV.5) L S O2 (A a # 2401)6) H H a Ra (A a # 2410)7) L H a Ra (A a # 2411)
I a a a a b a , b a , a a a a b a a ab b . T a a a
a a a . T a a b a b a a a a b ab .
H B I L H L L O2 H H L H
99 BPM 3 H 2O 2000 0 86% 240 BPM 30 BPM
A C A C M .T a a a a a a , a O a a a a b a a a . T a a
A a a a :
1) O a a a a a a b a .2) A a a b a a .3) Ca A a b a U S .4) A a a a a a ( a a ) . (A a
a , S C Fa , a b a A a # 3120, a a a.)
T a a a b a A a C a M :1) S C Fa , a b a (A a # 3120)
2) RTC Ba Fa (Ba L ) (A a # 3110)3) I E a a (A a # 3091)4) PEEP L a (A a # 2090)5) F Ga I a Fa (A a # 3031)6) Pa I a D a M (A a # 3092)
O ME AGE T a a a a a a a a
a EMV+ P U a a a a a
8/18/2019 Ventilador Impact 731
40/100
40
a a b a a . W a a a a SELECT/CONFIRM b b a a a a a b a a . P U
a a a a a a a a . I a , P Ua a a SELECT/CONFIRM a a a a
a a a b , a / a . A P U M a A 8. A a a P U M a a F 11 a
I:E a a a a a ab a a .
O ME AGEE AM LE: FIG E 11
O E A ION T EMV+ a b a a a a a .T POWER 1 a a a SELF CHECK a b a a
. T a a a a b a . Aa b ab EMV+ O2 a 21 100% a
a / a a a a a O2 . A a , O2 a b a F Ga /C I a a a
a /b a . W FIO2 b 21% aab O2 R U M ( ab a a a a
). T a a O2 a a aa a S O2 a . O2 R a a a + FIO2
a .
MODE OFO E A ION T EMV+ a a b a a a a b
a a a a .
A /C (AC): a a b a . W a a b a a b a ba a .
S I Ma a V a (SIMV): a b a ba b a a . S a b a a b P
S .
C P A a P (CPAP): a a a a b a a . S a b a a b a PS . T ba (PEEP) CPAP 0 H2O P S
8/18/2019 Ventilador Impact 731
41/100
41
≥3 H2O. T ba (PEEP) CPAP NPPV 3 H2O a P S .NO E: I SIMV(P), SIMV(V) a CPAP , (PEEP + PS) b ≥3 H2ONO E: I a AC CPAP SIMV, a PEEP a 3 H2O , PEEP a b 3.0 H2O a . (T a a a a
b PS a PEEP a , a (PEEP + PS) ≥3 H2O.)
ADDI IONALADJ NC OFO E A ION I a M O a , EMV+ a a a a a b a a
a . T a a P S (PS) a N a P P (NPPV). T abb a a b . I b a a ,
.
M B ( ) N (N )
AC V & P N NSIMV V & P Y NCPAP N/A Y Y
( ): a b a a b a b SIMV a CPAP . T
, P & H PIP a a b ( SIMV CPAP), C /S b PS a R a E a . O a , C /S b ab a a
M /Ca b a . T C M a a b b a a PS ( a ).
N (N ): a a a a ba (CPAP) a b a a a a a a a a . T a
a a a a a a a 0 15/ a a a a a b a a a CPAP a .
CA ION! T a a a a b aa a . T a a a a NPPV a .CA ION! T a NPPV a a a 3 a b a aa a . B a a a , a a
/ a a a a a a .
T a a a a a a a , a NPPV a a aT a a a a :
1) I E a a (A a # 3091)2) I F (A a # 2095)
T a NPPV:1) P b .2) S CPAP a A .3) P b PPV .4)
A NPPV.
5) P U a a a a a a .6) P A .
8/18/2019 Ventilador Impact 731
42/100
42
W NPPV a a , a a a a a b a / . L a M a a a a a
a a . I a a L a a a . W M a a a, a a a .
W a NPPV , a a / a a a a a b a a a :
A / C A N D H BPM A a 40L BPM A a 4L A a P A a OPEEP 5 H 2OVT H L OVT L L O
R T 3P S 2 H2O
W a NPPV a , a a / a a a a (b ). T a a a a a a
a :
A / N C A D N D H BPM A a 25 25L BPM A a 8 8L A a P A a (PIP Ta = 3) (PIP Ta = 3)PEEP N a N aV H L 750 750V L L 250 250R T N a N aP S N a I ACP, P S = 0
A NING! N N a P P (NPPV) a a a a NOTa b a a / a a b a . T NPPV a
a , NOT a .
ON ANEO /A I EDB EA H IGGE T a /a b a 2.0 H2O a a b a 6.0 0.5
H 2O b ba (PEEP) . I a a a a b a , a a 2.0 H2O. W a a b a .
T a a b a U M .
OPERATIONALTESTPROCEDURE B a a a a , a O a a T
b a a a a a a a a a a ( A E D C EC , H GH A A E E ) a . T b b a .
8/18/2019 Ventilador Impact 731
43/100
43
P :1. W b a , POWER ON , a a
SELF CHECK a b a a a .2. T A E D C EC a a b a . (T b 2
a .)3. P MANUAL BREATH b ; a a a
b .
NO E: T b a a b a b a a a a a ba I: E a .)
4. O a a a a a . D a a H GH A A E E a a a a a 2 b a a a PIP H L .
5. I H GH A A E E a a a a a , a a a b a a a a a a a a a H A a PL 35 H2O .
6. A a b a a a a a a . TD C EC a a a a .
7. I H GH A A E E D C EC a a a , a a a a , a a a .
8. I a a ba , a BATTERY a aba a a a a a a a . I , b
a a a a a .
NO E: T a a a a PEEP a .
O BEGIN EN ILA ING 1. A a ab a a . I a H a a M
E a (HME), a a a a .
2. A a AC/DC CONVERTER a a a AC a a ab .
3. T P a a a a . W , a b a a a
M B M EE FIO2 I:E H IL
D AC(V)2 12 500 5 H 2O 21%
3 1:2.5 35 H 2O
A NING! D a a ba a .Pa a a b a a a a a b a a a
. T a a a b a b a a a .
4. A a a b a ; A E D C EC a a a a a a a a .
5. A a a a 4 a ' a a b , ab a a a a5. D b a
a a a a A E D C EC a a .
2 (V): a a a 3 I a O2 a a , a FIO2 b 100%.
8/18/2019 Ventilador Impact 731
44/100
44
A NING! D a a , NEVER LEAVE THE PATIENT UNATTENDED!A NING! A a a a a a a .A NING! D a a a a a ; a a a a a
.A NING! D a a a a a ab a a a . I a a a a a a
a a a .
6. O a , a a :a. A a b a b HR a S O2 (S
b )6.b. S a HR a a a a a .
. S S O2 a a a .
. A a b a b a a a .
. I b a a a a a a b .
. C AIRWAY PRESSURE a a a a . S AIRWAYPRESSURE LIMIT/ALARM 5 10 H2O ab a . T a a .
A NING! A a L A a P L a a 5 H2O ab PEEP. I a , a b 5 H2O < PIP.
7. S a a a , , a , a a a .8. C a a a a a ba a a a a a
a . L , a , a a a .9. D a , a a a a a a a
. W a ba a a ba a .
O CHANGE E ING Ea a a b EMV+ a a a a a ; a a a aa a a a a a a a 3 a a a a a b a b a ba
a a b a a . T a a a a a
a a b ; a a a a a a a a b a . Ea a a b a a a a a . T a a a a a a :
1. P a a b a a a a a a .
2. W a a a a , a a a .
3. P C /S P b √ a a .4. A a a a a a b M /Ca b .
4 22 OD/15 ID a a a a a . 5 O a a a : a a a a a , a a b a a a a b a a a a a b
b a a . S AARC C a P a G , Ma a A a E R a Ca 1995;40(7):749 760 S 10.2.2. 6 I a a a a a ab , a a b a a a a
.
8/18/2019 Ventilador Impact 731
45/100
45
E AM LEE a 1 T a a a 12 16:
S 1: P BPM b .S 2: T R a E 16.S 3: P C /E b .
E a 2 T a a b a a b a :S 1: P M a a b S 2: T R a E ( ) ( ) .S 3: P C /E b .
BACK EN ILA O T EMV+ a a b ba a a a
a a a a a . D a a , ba a b a
a :
1. I a a ( ) : ba a .
2. I a a a ( ) : ba a a a (M AC (P), a , BPM 12, PIP 20 H2O, FIO2 21%, PEEP 5 H2O, I:E 1:2,PIP H L 35 H2O).
L EO IME E T a a b a ab a a
a O2 a a a a b (S O2) a a ( a b S O2 ) a a a . T b a a a a
ab a a a a S O2 .
T a , b a ab a a ab S O2 a . T a a a a a
a a > 10 a a a aa S O
2 a . T a a a a a . I a a a , a a
a a a a a a a a .
H MIDIFICA ION H a a M E a (HME ) a b EMV+. W HME a b ab a a a , a a ab a a a a a . T EMV
a a HME a a HME/ba a a (HMEF). T HME a a a b a a a a a a
U a HMEF a a a b a a ba a a a . HME HMEF a a b ab a
a a ' a a b . B a b a aT ab b a a a a a a HME b A a I a .
8/18/2019 Ventilador Impact 731
46/100
46
( ) ( )HMEFD
C D ( )
D ( )
M( )
A ≥ 40 ≥ 400 ≤ 75 17 (a ) ≤ 92 360
P a 12 50 120 500 ≤ 25 17 (a ) ≤ 42 168
P a 12 50 120 500 ≤ 25 4 ( a ) ≤ 29 117
I a 5 12 50 120 ≤ 10 4 ( a ) ≤ 14 56
I a a a EMV+. U a a a a a a a a a a a
. S a b a b a ab a7.A a b a a a a b a a . H a a . Ob a a a
a a a .
A NING! U HME HME/Ba a V a (HMEF) a b a a a a a a a a b a a 25% TIDAL VOLUME. A a
a HME/HMEF a a a a . F a a (50 75 ) a ba ab a HME.
A NING! U HME HME/Ba a V a (HMEF) a a a a a A B a (A a 1 H2O)
7 Ka a a (R a Ca 1990;35:405)
8/18/2019 Ventilador Impact 731
47/100
47
HA A DO EN I ONMEN FIL ET EMV+ a b a a / b a a . T
a , a a a a a a O2 a / a b a a FRESH GAS/EMERGENCY AIR INTAKE. O a a
b a ba a / a a a a /b a ba M aC O .
T a b a a a a b a a a a , EMV+ a a a a a a a a a a a
. W a a a a a a a , a a a b a .
A NING! T M a C O a / I C a aa a ba a a a .
A NING! T a a a b a ; a a b a a a a a a ( F 4).
BAC E IAL/ I ALFIL E E Ba a / a (B/V) a b a a a
a b a ( F 13). W a a a a a a a a . I B/V
a b a a a a a a a a. T a ba a / a , a 22 a F
Ga /E A I a .
CA ION! I a b b a a U aP a a .
CHEMICAL/B IOLOGICALFIL E E T EMV+ a a a a /b a / a ( C2A18)
a a . T F Ga /E A I a a a a a a R 40 1/7 a . A a a a b BS EN 148 1:1999
R a T a a .
8 A 3M C2A1 a (3M S . Pa , MN) a a a a a a C2 NSN b 4240 01 361 1319. T a a a
a a a . U 3M a a 3M . U a a a a a b I C a .
8/18/2019 Ventilador Impact 731
48/100
48
CHECK AL E ONB EA HINGCI C I HEN IN HA A DO EN I ONMEN W a a Ha a S a Ba a / V a C a / B a a
a a a a a C Va (PN# 704 0700 01) a aa a b a . T a a a b a
a a Pa a a a / a a a a a a a a . A , PEEP , a a a a
b , a a a a a a a . C , a CVa Pa .
A NING! U b a / a a a / a b . A a (704 0700 01) b a a a Ha a E
T a a b a F 12. O a a a a C Va .
CHECK AL ECONNEC ION OB EA HINGCI C I : FIG E 12
8/18/2019 Ventilador Impact 731
49/100
49
F E HGA /EME GENC AI INLE
BAC E IAL
/ I AL
FIL E
CHEMICAL/ BIOLOGICALFIL E
HA A DO EN I ONMEN FIL E : FIG E 13
8/18/2019 Ventilador Impact 731
50/100
50
HA H EN I ONMEN O E A IONT EMV+ a a a a a a aI a a a a a a a a a
a a a a . T EMV+ a ( a a a b ) a
a a a b a a a a a a a . L a a a a a a
b a a a .
AI BO NE A IC LA E U a a a 2 a a a a
a a a F Ga /E A I . H , a a a a b a a ab
ba a / a ( a HEPA ) a . U a a a a . F a
a a a b ( a / b ). T a a a a a
a a . D a a a b aC a a b a a a b a a a . T b a a a
I a a a a a EMV+ a a LCD b a a a . I a a a a a
a / a .
E EME EM E A EEN I ONMEN T a a a a a a 0 40 C (32 104 F). T EMV+ a b
a a b I a I a b a ab a a a 25 49 C ( 13 120F) a ab a . (T SGS a a 10 40 /50 104F.) T a a a a a
a a a ab L I ba a a a 0 45 C (32 113 F). H , ba a b a a b I a I a b a ab
a 25 49 C ( 13 120 F). I a , a b a a b I aI a b a ab a a a . W
a ba a b 0 ab 45 C a a a a a a a a ba a . T a a L ba a
a a , ba a a . T ba ab a a . O a a a a b a a
a a a a a . T a a a a a a a a b , b a a AC/DC P S . W a a
a a EMV+ a a a a a .
AL I DE T EMV+ a 2,000 25,000 ( 610 7620 ). A abba a b a a
a a a a a . W a >25,000 a a a a a . W a a
a (PIP) a a a a a PIP a b a a a a a a a a . T a a a aa a a aa b 25,000 . I a a a ab 25,000 a a
a a a ( LED ).
8/18/2019 Ventilador Impact 731
51/100
51
A NING! T EMV+ ba a . U a ba a b a a a a / a a .
AIN AND NO L a a a a . T EMV+
a ab a b a a a a a a a a . T a a a a a a a
a a . I a a , a b , ba a a a b .
8/18/2019 Ventilador Impact 731
52/100
52
ALA M DI LA : FIG E 14
8/18/2019 Ventilador Impact 731
53/100
53
ALA M F NC IONA a a a , a a a a a LCD( F 14). T a a a ALARM MESSAGE CENTER (AMC). T AMC a a a a a a a a . T b a a a
a a b AMC a a ALARM BELL a b a a aa a . A a a ba a . T a a a
a a a . A a a ba a a a a / a b .
A a M a a a :
A M C (AMC) ( ): a a a a a a a .
A N /D ( ): b a a / a a a . T A /D a a a AMC. W a a a a
a , M EMV+ ba a a .
M / I ( ): a a a a aa b .
I N I ( ): a a a a a a . T a a a ****.
A N I ( ): a a a a a a a b a a . W a a aa b b b a a . T a a AMC
a a b . T a a a a , a a a a a . I a a 5 a a , a a a . S
F 10 (A a & P ) a a a a a a a .
C ( ): a a a a a 4 b a a aa a a a b a a . S A 1 a a /a a
1###: a a2###: a a3###: a a
A I ( ): a a : , .S S b & I ab a a a a a a a a .
ALA M IO I IE A a a a a a ab a
a . T a a a M /Ca b a . Ta :
H : a a a a b . T a a a a b a . T a a a CPU
a a a ba a a a b a a a a . I a a a a . P M /Ca b
a a a a . T a a a b b a .
8/18/2019 Ventilador Impact 731
54/100
54
M : a a a a b ( a b a ) b a a / a a , a , a a b
a a a a b a . P M /Ca b a a 30 . I a 30 a a a
a b a a a a a 30 .
L (A ): a a a a a b , a a a a b a a a a a a a a / a . L a a
b a a b a LED a a a a . P M /Ca b a a b a . I a a LED a
a a a a . S L P a a a b a a a a a , A a Ca a ab .
EN ILA O ALA MCA EGO IE A a a a a a a a a a a b a a
a / a a a a a a ba a a a a a(55 O2, a , ), a a a / a . I a
a EMV+ a a a / a a a a a a a a a a .
NO E: A 1 a a a ba a b a aa a a ba a .
C F : a a a a a ab a a (CPU) a a a S O2 . W H P a a a
b a a a b a LED a a a a . T ba a a a a a ba a . P M /Cb a a a a ; a a a b b a .
C F /F : a a a a a a a a a b a . H P a a
ab b a ba a a a a 55 O2 a O2 a a a ba . W a a 55 O2 a a ab EMV+
a a a b a O2 a a a M P a a . T a a a a a FIO2 100%. O FIO2 100%, MP a a a a L P a a , a a a LED a a . LP a a a a a
a a a a a b a a . A aa ab b a a a a .
NO E: Fa a O2 FGa /E A I a .
O2 F /F : a a a a a a a O2 a
a a /O2 b a . H P a a a a O2 a a a a a ab ba a a a . W O2
Va a a FIO2 >21%, EMV+ a a a b a a a M P a a . T a a a a a FIO2 21%.
O FIO2 21%, M P a a a a L P a a , a a a LED a a . L P a a a a O2 Va
a a a a a a b a a
8/18/2019 Ventilador Impact 731
55/100
55
a a a b a b a a a a .
O2 L F /F : a a a a a a a 55 O2 a / ab O2. H P a a
O2 b 35 a a a a ab ba
a a a . W O2 b 35 a FIO2 >21%, EMV+ a a a b a a a M P a a . T
a a a O2 b >45 a a a FIO2 21%. O FIO2 21% M P a a a .
NO E: T a FIO2 21% a a a ba a O2. T a L P a a a a a / a .
O2 H F /F : a a a a a a 55 O2 a / ab O2. H P a a O2 ≥ 80 . W O2 >80 EMV+ a a a
a a a / a a EMV+. W ≥75 a ≤80 a a a a a a ab .
F G I F /F : a a a a a b F Ga /E AI a . T b a b a a b a a ( a a a ba )b a a a , a a b
O2 . T a a . A HP a a ( 1030) b a b a
a a a 55 O2 a O2 a a a ba .A M P a a ( 2030) b
a b a a a a a 55 O2 a a ab a O2 a a a ba . C a FIO2 100% a a a a L P ( 3030).
A L P a a ( 3031) a , b a
a b a a a .
F /F : a a a a a a a a a a a a ab ba . H P a a a a
a ba a a a a a a P M /Ca b a a a a ; a a a b b
a . L P a a a a a a a a ba a a ab b a ba a
. P M /Ca b a a b a a a a a
NO E: T EMV+ a ab a a a a a a a a . W a a
a a a a a a aa a ba .
L B : a a a a a a a ba a ab a a . H P a a a a ba a a a a a . P M /Ca b
a a a a ; a a a b b a . M Pa a a a a a a a 5 a a . P
M /Ca b a b a a 30 . T L P a a
8/18/2019 Ventilador Impact 731
56/100
56
a ba a a a a 30 a a . P M /Ca b a a b a a b a
a LED a .
M B : a a a a a a a ba a a ab a ba . T L P a a a a
a a a a a a ab a a a ba a a a . P M /Ca
b a a b a a b a a LED a .
M C : a a CPU a a (SPM). Ta a a a a a b a a a SPM a a . P M /Ca b a a a a ;
a a a b b a a .
C F /F : a a a a a a a b a. H P a a a a a
EMV+ a b a . M P a a ab ab a a a ba . W a a b a a b a
b a a . P M /Ca b a b a a 30 .
E F /F : a a a a a a a a aa a . H P a a a a P L a40 H 2O a 5 , a a >75 H2O a 1.5
. M P a a a a ba b a b a . R a a a a
a a a a . P M /Ca b a b a a30 .
A H: a a a a H A a PL a b a . Pa a a M P a a a a
, a a a . O a a b a H A a P a a a a . T
a a a a 35 H2O a a a a ab . P M /Ca b a b a a 30 .
EE N M / L : a a a a a 2 H20 a . T M P a a a a a
b . T a a a a b a a a a a a a a b a . T
a a a a a a a a a aa a a b a b . P M /Ca b
a b a a 30 .
D : a a a a a a 5 H2O ab ba b a a . T M P a a a a
b a a a a a . I a a b a b a b . P M /Ca b a b a a
30 . T a a L P a a b A a Ca a .
C B F /F : a a a a a a (RTC) ba a a a b a a a . T a a
8/18/2019 Ventilador Impact 731
57/100
57
a a . A L P A a RTC ba a b a . P M /Ca b a a b a a a LEDa a a . T a a L P
a a a b A a Ca a.
C D: L P a a a a b a a a a . P M /Ca b a a b a a a LED a
a a . T a a L P a a b A a Ca a
A F : a a a a a a b a ( 2000 25,000 a ). T L P a a a
a a a b a a a a ab a a a a a a . P M /Ca b aa b a a a LED a a a .
A F : a a a a a a b a a ( 25 50 C). T L P a a a a a
a b a a a a a b a a a a a a . P M /Ca b a a b a
a LED a a a . (S E O a C a a a )
L EO IME E ALA M L O2: a a S O2 a b L S O2 a a . T MP a a a a a a a a a . R a a a a FIO2 a . P M /Ca b
a b a a 30 . T a a a a a 94%.
H H : a a a a (HR) b ab
H HR a a . T M P a a a a a a a. P M /Ca b a b a a 30 . T a a a a a 120 b a / .
L H : a a a a (HR) b b L HR a a . T M P a a a a b a a a. P M /Ca b a b a a 30 . T a a a a a 4b a / .
O2 : a a a a a a . T M P a aa a a a ab a a b
CPU a a a . P M /Ca b a b a a 30. I a a a M a S O2
a b b . D a M P a a b LED a a a .
N O2 C : a a S O2 a S O2 . T a a
a b , b . T L P a a S O2 ab b a . T a a a , a a ab a . T
a a a a b , b M /Ca b , M b , P O , a b .
8/18/2019 Ventilador Impact 731
58/100
58
NO E: I EMV+ a a ab a a , a a a a a ab . A a a a , a a
a a a a a a a a a a a a ab .
D O2 : a a a ba . T L P
a a a a / a a . P M /Cab a a a . T a a a , / a S O2 b
a a b , b .
L O2 : a a a a a . T L P a aa a a a . P M /Ca b
a a a . T a a a , / a S O2 b a a b , b .
O2 : a a a a a . T L P a a a a a a . P M /Ca b a a a . T a a a , / a S O2 b a
a b .
O2 : a a ab a a . T L P a a a a , a
a / a . P M /Ca b a a a . Ta a a , a b S O2 b a a b ,b .
O2 I D : a a a / ab a aa . T L P a a a b a b a a a
. P M /Ca b a a a . T a a a , a a a a / S O2 b a a b , b .
O2 O : a a a a . T M P a a a a , a
a / a . P M /Ca b a a 30 . T a a a , a b S O2 b
a a b , b .
O2 L C : a a S O2 a b a a a .T L P a a a a a a ( , a , a . P M /Ca b a a a . T a a a ,
a a .
O2 : a a aa a a . T L P a a a a a a a a . P M /Ca b
a a a . T a a a , a a a S O2 b a a b , b .
8/18/2019 Ventilador Impact 731
59/100
59
O INE CA E: CALIB A ION, CLEANING AND E EN A I EMAIN ENANCE
CALIB A IONCHECK T b a a a a a a a
a a a . Ca b a b 12 1500
, a a a a a b a a a. T a a b a a a a . F 6 a / , , b
a , a a , a ba a b a a . A a b a b a b a b a a a 12 / 1500
a . Ca b a b a a Ca b a b a a I a
a b a / a a . Ca b a a b a a EMV+ a b
a . I b a a b a b a a IS C I a a b a .
C a a a I a S C I a
a a , a b a (T 973.882.1212, a @ a .). A RG A a b (RGA #) b . T RGA # a a b a aa ab . T a a b a a a a .
GENE ALCLEANING K EMV+ a a a a a . N a a a /
a . E a b a . U aa a a a a a a a a a a
a a a . I a a a a , a a . P b a a , a a
a . T EMV+ a b a a a a a , a a a . D a ab a a a b
a .
H H : E a a , a a . W a a a , a . D a . E a a a
a a a . R a , DO NOT a a .
A NING! N a a O2 a .
E EN A I EMAIN ENANCE R a a b a a a a b
a . R a a :
1. S a a a a a a .
2.
O a a a a a , aa 1000 a a a a , a aa a , a a a a , a a , a S O2 a a .
3. T b a a , a b a a .
4. M a a a b a a a . C a . T a a a ,
' b a a a a . I
8/18/2019 Ventilador Impact 731
60/100
60
a I F Ca b a C b b I a a I a a .
5. I a I a a a a ba a a b a a a a b a , a
I a a a a a b a b O a a a b a .
EMO ABLEFOAM FIL E E LACEMEN F F :T R ab F a F a a . I
b a a 1,000 a . R a a a . E a
, a a . R a a (Pa # 465 0028 00). DO NOT a a .
CA ION! D a a a .
F E HGA /E ME GENC AI IN AKEDI KFIL E E LACEMEN F G /E A I D F : T F Ga /E A I a D F (Pa #4650027 00) a b R ab F a F . T a a
a b a a a . T b a a a a . T EMV+ a a a b a R ab F a F a F
Ga /E A I a D F b . T a a a EMV+ ab a b a . T F
Ga /E A I a D F a b a a R ab F a F . I a a b a . S A 5: I a F
C a /I .
CA ION! T a ab a b ab .CA ION! W / a a b , a
a a . T a b a a a a a b a b a a .
CA ION! I a b b a a U aP a a .
NO E: D a a a a a
O CON AMINA EDEN I ONMEN CLEANING I a a a a a b a a a
a a a a a , a a a , I a a b b .
1. A a a a b a I C a SaO .
2. E b a a a a a a b a . P a a a a a P a P E a a
.
3. T a a b a a a a a a . Ma a a a a a a .
4. F a a a / a a , a 10% b a a a a a a a a a b . S a a
a a a a b a , aa a a a . A a a
a b a a a a a a ab . I a I a , I . a a a a a a
8/18/2019 Ventilador Impact 731
61/100
61
a a a a a b a .
5. Ca b a a . N b a a a a a a .
6. N ab a a a b ba a a a ,
a a a a a .
8/18/2019 Ventilador Impact 731
62/100
62
BA E CA ACI , CA E AND ECHA GINGBA E CA ACI
W a ba , a b a a a a ba b a BATTERY I /I a . T BATTERY a a
a a a a a . Ea
a a 5% ba a a .
BA E CA EAND CHA GING T EMV+ a a ab ba a a a a ,
b " " a a ( a a ) a . T ba, a a , a . A a
a ba a a ab 76 C (170 F) a 2 . F a a a ba .
I a ba a ba a AI a Ba C a /I .
CA ION! O P S . U a aa a a a a / ba a .
CA ION! I a ba ba a a ba , , , , a a b a a a
a a 15 a . N a b ba a .
CA ION! N a a ba b a ba a a a .
1. Ba a b a a a 0° C 45° C (32F 113 ° F) b ba
2. T ba a a a ( a a ) a a 25 49 C ( 13° F 120° F) (aa a b I a I a ).
3. DO NOT a ba a . A a ba a .
4. F a , a a a 15° C 21° C (5° F 71° F).
L ba b a a a . P b a a a a ab . I a / , a
; a ba a a a a 80% a a b . T EMVba a a 90% a a a a 2 . I a a aa 2 a ba 100% a a . C a
b 12 VDC P Cab AC/DC P S .
O a a a a a a ba aT a a a a ab a ba . I E E A E / F A a a , EMV+ a a a a ba a .
T BATTERY I /I a a (1) a a ba , (2) ba a a (3) a a a . T BATTERY a a a
a a a a . W ba a , a a , a a , b . W
ba a , a . Ea a a 5% ba a a . D a ba a a a a aba a a b a 5% . T BATTERY a / aB A E E
a a . T a / a a a a ba .
8/18/2019 Ventilador Impact 731
63/100
63
IN CA E OF DIFFIC LO BLE HOO ING
A a b a a a a , I a I a , I . a a b a / ab
a .
O E A O CO EC ABLE OBLEM C b a b b a a
a . S a a , a a . C a a a a a a
AMC. V a F Ga /E A I a F a R ab F a Fa . C a a ba a a
O E A ING OBLEM E I ING E ICE I b ab a a b , . S
a , a a I a S C I a C SD a 973.882.1212. W a a , b a
b a a a a . A R G A a b (RGA #) b b a b . T RGA b a a b a a
a ab . T a a b a , a a . P a a M a S a N b a a a a a . T EMV+ S a N b Lab a ba . T
a a a U M , U I .
O AGEINFO MA ION F a a , EMV+ b . T b
a a . S a b ba.
S a a a b 15° C 40° C (5° F a 104 ° F), a b . F a , a a a 15° C 21° C (5° F
71 ° F). Ba a a ab 35° C (95° F). I a ba ba 50% a a a ab 35° C (95° F) . DO NOT ba
a a .
CA ION! DO NO ba a a .
W ba a a , a a a a a a a :
STORAGE AMBIENT RECHARGE INTERVAL
B 68° F (20 ° C) 1268 ° F 86° F (20 ° C 30° C) 686 ° F 104° F (30 ° C 40° C) 3
F a , a EMV+ ab a a a a ( BATTERY CARE
RECHARGING).
F 6 a / , , b a ,a a , a ba a b a a . S a b
. S b b a .
8/18/2019 Ventilador Impact 731
64/100
64
ECIFICA IONO
O a M AC, SIMV, CPAP a P S a a N aP P V a (NPPV)
B a Ta V a
F Ra 0 100 LPM @ 40 H 2O (3922 Pa)
B a Ra 1 60 BPM
T a V 50 1500 ATPD +/ 10%
I a T 0.3 3.0
FIO2 21 100% +/ 3% a +/ 10%
PEEP 0 25 H 2O (0 2451 Pa) (T PEEP CPAP NPPV 3 H2O)
P a I a P(PIP)
10 80 H 2O (980 7845 Pa) ( a >60 H2O a +/ 5 H2O +/ 10%
O I P 55 ( 25%; + 20%) (379170 Pa)
A a P HL
20 100 H 2O a (1961 9806 Pa)
A a P L L O , 3 35 H2O (294 3432 Pa)
B a T 6.0 0.5 H2O ( 588 49 Pa) b ba /PEEP
PIP Ba G a 10 100 H2O ( 980 9806 Pa)
LED S a /A aI a
R , a
A a V 82 BA @1
N L 60 BA a @1 a ( a a a
O a V a 100 240 VAC (50/60 & 400 H ) 12.5 28.0 VDC, a a b I a I
100 240 VAC (50/60 H ) 12.5 28.0 VDC, SGS
O a T
I a Ba 10 a a
E a AC C
E a DC C
T a RaO a 25 49 C ( 13° 120° F) ba a a AC a ba I
I a a a10 ° 40° C (50 ° 104° F) ba a , ba a a AC
a (SGS )
Ba C a 0° 45° C (32° 113° F)
L T S a 15° 21° C (5° 71° F) O a a
CA a /P
10% a a a &
8/18/2019 Ventilador Impact 731
65/100
65
O
S 8.0" W X 12.5" H X 4.5" D (20.3 W X 31.8 H X 11.4 D )
W 9.7 b (4.4 )
Wa a L , 1 a ( LIMITED WARRANTY a )T C a a IEC 60601 1 (2 , 1988) a a
ab :
IEC 60601 1 C C C5.1 a)E a E a PS5.1 b)I a PE
T P a aE S
C a 1: P a a Ba I a , b
a a a a a a a a
a
a a a a aa b a a a b
a a ba
a .5.2 D a a
BF: T B a (F ) a
5.3 D P a aa a
IPX4: S a ( a a a a
a a / a a ba a a
.)5.4 M S a
DP b
a a , a a a .
T a b a
a a a a , a a a . D a ab a a
a b a .5.5 D Sa A a
a F a abA M A
O N O
E ab F a ab A
M A O NO
5.6 M O a C O a
8/18/2019 Ventilador Impact 731
66/100
66
T a a a ( . a a ) VT a O a .
T a a a a a aa , ba ASTM F1100 a . T a a
PEEP a , FIO2 , a a a a F Ga I a a
T b a a a b :
/ A PEEP S 0, 5, 25FIO2 S 21, 30, 50, 90, 100Pa C A N A
HMEHME + BVHMEBV
I a F A N AC2A1BV FO2 R
T a a / b a :
A / VT, T a V 10% P Ta A a 5 H2O < 30, 10 H2OPEEP A a 1.5 H2O 10% FIO2 A a 3% a 10%
8/18/2019 Ventilador Impact 731
67/100
67
LIMI ED A AN I a I a , I . a a b a a a a a
a (1) a a a a .
D a a , I a a a a a a a b . A , I a a a a
a a a ( a b I a ). T a a , a , , b I a S
C (30) a a a . T a a a a b a a a I a a a a
a b ( ab ) , a a
Ba , b a a ab a b a , ba a a (90) a . A , a ab a , a
a b a , a a a .
DISCLAIMER OF IMPLIED & OTHER WARRANTIES:THE PRECEDING WARRANTY IS THE EXCLUSIVE WARRANTY AND IMPACT INSTRUMENTATION, INC. MAKES
NO OTHER WARRANTY OR REPRESENTATION OF ANY KIND WHATSOEVER, EXPRESS OR IMPLIED, WITHRESPECT TO MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR ANY OTHER MATTER. THEREMEDIES STATED IN THIS DOCUMENT WILL BE THE EXCLUSIVE REMEDIES AVAILABLE TO THE CUSTOMERFOR ANY DEFECTS OR FOR DAMAGES RESULTING FROM ANY CAUSE WHATSOEVER AND WITHOUTLIMITATION.
IMPACT INSTRUMENTATION, INC. WILL NOT IN ANY EVENT BE LIABLE TO THE CUSTOMER FORCONSEQUENTIAL OR INCIDENTAL DAMAGES OF ANY KIND, WHETHER FOR DEFECTIVE ORNONCONFORMING PRODUCTS, BREACH OR REPUDIATION OF ANY TERM OR CONDITION OF THISDOCUMENT, NEGLIGENCE, OR ANY OTHER REASON.
8/18/2019 Ventilador Impact 731
68/100
68
A ENDI 1: ALA M
CA N
A a a a a .1001 C F (C C F N B )
A a a a a a b a a O2 (HP O2) a a ab a .
/ : , C H 2 , H 2 ** / **
1002 C F (C C F N B )A a a b a S a PM (SPM) a O2 (HP O2) a a ab a
/ : , C H 2 , H 2 ** / **
1003 C FA a b a 20%
a a . T a RPM a a b b a .
/ : ** / **
1010 O2 F (O2 F O )A a O2 a a
a . W a a a a a a a a a .
/ :
** / ** 1011 O2 F (O2 C F N B )A a a O2 a a a
a a ab a ./ :
** / ** 1012 O2 F (O2 C F N B )
A a a b O2 a a SPM a a a a ab a ./ :
** / ** 1020 O2 L
A a O2 ≤ 35 a a a a . I O2 a b b
. B ab O2 a ≥. I b 40 a 80 a a
a . O a a , a a a b a b a a a a a b ab a
a ./ : , C 55 2 , C
8/18/2019 Ventilador Impact 731
69/100
69
, ** / **
1030 F G I F (C I B N B )A a F Ga /E A I b a ab a HP O2 a a ab
a . T a a b a a a a . (Aa b b a .)
/ : , C B , C 55
** / ** 1041 O2 H
A a O2 >80 . P ab 80 a a a , a a a / a a . W aa a a a a a O2 .
S a a a a b a a a a a ab
a a O2 a a O2 . T a a a
b a a a a 75 ) HP O2 .
/ : , D 2 55 , C F 2,** 2 **
1051 C FA a a a a b a . W
b a a a , a . (A a b b a .)
/ : ** / **
1052 A FA a a b a a a SPM a a a a a a , a .
/ : ** / **
1060 E F (E F )A a a a a a a . W a
a a a a b a a . T a a b a b a a b a a a
/ a a a b . I b , a b a a a a . I b
a a a a a , a a a .
/ : , C ** / **
1061 E F (E A )A a a a (Pa ) ab 40 H2O PIP H (PIP H 5 Pa ab 75 H2O >1.5
. W a a a a a
8/18/2019 Ventilador Impact 731
70/100
70
b a a . T a a b a b a a a a a a / a a a b . I b
a b a a a a . I b a a a a a , a
./ : , C
** / ** 1172 5 C F
A a 5 b a a . I , a a a a a , a a
./ : , F
** / ** 1173 I C F (H D C F )
A a a a b b a . I a , a a a a a
a a .
/ : , B E** / **
1174 O C FA a ab a b a a
ab a a . I a , a a aa , a a a .
/ : , F** / **
1175 I C FA a a a a a b a
a ba b . I a , a
a a , a a a ./ : , F** / **
1176 O C FA a a b a a . I a
a a a a a , a a a .
/ : , F** / **
1420 C FA a b a ba a a a
a . W , LCD b a ( a ); a b a a , a a a a a a . T a a a a
./ : CD D
1430 E BA a a ba b a
a a a . W a a a a a . T a
a a a a a . T a a a
8/18/2019 Ventilador Impact 731
71/100
71
a a b a ba ./ : , C E ,
** / ** 1471 I C F
A a ab a U IM (UIM) a a . W a
ba a a a . T aa a a a a .
/ : , B E** / **
1472 I C FA a ab a S a PM (SPM). W a a
a a a . T a b a a a a .
/ : , B E** / **
1473 I C FA a a a a SPM 1 . W
a a ba a a a . T a b a a a a a
/ : , B E** / **
1474 I C FA a a b EMV+ a SPM a . W
a a ba a a . T a b a a a a a
.
/ : , B E** / ** 1475 LCD C F
A a a a a aa LCD b . W a
ba a a a . T b a a a a a .
/ : , B E** / **
1480 M C FA a EMV+ a SPM a a a a b . T a a
a a a a SPM a a a a SPM a . V a ba T b a .
/ : , C F** / **
1485 O C FA a S a P a M (SPM) a a a P a a a a a a
/ : , A D ,
8/18/2019 Ventilador Impact 731
72/100
72
** / ** 2001 C F
A a a b a SPM a a2 a a ab a . T a a a a
a a a a b HP O2 b
FIO2 100%. A a . W a a a a a a HP O2. Fa a a HP O2
a a a .: 2 , F2 100%
** / ** 2002 C F
A a a b a S a PM (SPM) a HP O2 a a ab a . T a a
a a a a a a a a HP O2 b FIO2 100%. A a a a
. W a a a a a a a 2.Fa a a HP O2 a a a .
: 2 , F2 100%** / **
2011 O2 FA a a O2 a a b a a
a a a a ab a . T a a a a a a b
b FIO2 21%. A a a a . W a a a S O2 a a
a a a a a . I O2 a a ab a b a F Ga /E A I a a O2 . Ma a a a abS O2 b a O2 a a a O2
a .: C , F2 21%, C F 2,
2** / **
2012 O2 FA a a b O2 a a SPM a a
a a ab a . T a a a a a a a a a b
b FIO2 21%. A a a a . Wa a a S O2 a a a a
a a a . I O2 a a ab a b a F
Ga /E A I a a O2 . Ma a a a ab S O2 ba O2 a a a O2 a .
/ : C , F2 21%, C F 2 , 2
** / ** 2020 O2 L
A a O2
8/18/2019 Ventilador Impact 731
73/100
73
a . W b a . a a a a a a
b b FIO2 21%. T a a a 21%.
/ : C , C 2 , C, F2 21%. C F 2, 2
** / **
2030 F G I FA a F Ga /E A I b a ab a b a 10% a HP O2 a a ab
a . W a a HP O2 a . T a a a FIO2 100% a a a
b a a 100%, a b a a FIO2 ba a aO b a a b a a a . I
a b a , a a , a FIO2 100% aa a a a HP O2. A b a a a a
a , a a a a O2 R M aa . T a a .
/ : 2 , C B , F 2 2** / **
2053 A a a a a a b a ab a . W a ab a ba b aPEEP 0 H20 a b a . T a b a . T a a a a b ; aa a a a . I a b a a a a a a
a , a b a a a ; b a a .
/ : A C , D C F /D , C /C** / **
2062 E FA a a a (Pa ) a a a >5ab ba (PEEP ). T a a b a
a a a a / b a b b a b a a b a b a
b a ba a a a . I a
NO E: T a O2. I HP O2 O2 a ≥40. T b a a
a a a a a a a . I O2 a a ab a b a F Ga /E A I a
a O2 . Ma a a a ab S O2 b a O2 a a a O2 a .
8/18/2019 Ventilador Impact 731
74/100
74
a a a a , a a a ./ : C C H / , C B E
C , / ** **
2070 A HA a Pa a a