FAQ – English
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1. Informs the clinician to effectiveness of cardiac compression e Recommended AHA guideline Reduction in the number of ABG draws EMMA Key Features e Easy to use e Quantitative e Mainstream device e Pocket sized lightweight 60 grams e Battery powered 2 AAA e Alarms amp indicators e Infant through adult population e No calibration required 0000 8143 EMMA FAQ s and Features Critical Care ICU Intensive Care Unit Why Capnography Ventilation EtCO2 measures ventilation e SpO2 measures oxygenation e The vital measurement of respiratory rate Provides immediate picture of the patient condition Airway management Ongoing assessments provides assurance that the ETT is maintained in the trachea e Safety during transports extubation ventilation disconnects etc Basic monitoring Ventilator weaning Assessment of manual or mechanical ventilation efficacy Evaluation of the Respiratory Compromised Intubated Patient Need for treatment suctioning and medications can be continuously assessed Assessment post treatment Resuscitation Monitoring e Verification confirmation of tracheal intubation e Assess efficacy of CPR early indicator of return of spontaneous circulation ROSC Informs the clinician to effectiveness of cardiac compression Recommended AHA guideline Hypoventilation due to sedation analgesia or overdose Reduce the number of ABG draws EMMA Key2. EMMA FAQ s and Features Where is the EMMA name coming from EMMA is an abbreviation of Emergency Mainstream Analyzer What is EMMA EMMA is an Emergency Capnometer for proof of intubation and short term ETCO2 and RR monitoring of adults children and infants in emergency transport emergency care and intensive care What does EMMA measure It measures end tidal CO2 and respiratory rate Is EMMA CE marked Yes EMMA is CE marked How accurate is EMMA The accuracy of all measurement values complies with the standard ISO 21647 Medical electrical equipment Particular requirements for the basic safety and essential performance of respiratory gas monitors How durable is EMMA EMMA has a rugged shock proof and water resistant design to provide the user with a reliable monitor for any emergency situation EMMA is designed in accordance with EN1789 standard for Road Ambulances How do I connect EMMA to a patient EMMA can be connected to any patient airway connection i e endotracheal tube laryngeal mask or facial mask Can EMMA be used on infants Yes the EMMA Airway Adapter Infant has a dead space of 1 ml and a flow resistance of 1 0 cmH20 at 10 Ipm allowing the use of EMMA even for very small patients Can EMMA be used with rechargeable batteries Yes EMMA can be used with rechargeable batteries but operating specifications is related to non rechargeable alkaline and lithium batteries How ofte
3. Features Easy to use Quantitative Mainstream device Pocket sized lightweight 60 grams Battery powered 2 AAA Alarms amp indicators Infant through adult population No calibration required 0000 8143 EMMA FAQ s and Features PACU Post Anesthesia Care Unit Why Capnography Ventilation EtCO2 measures ventilation e SpO2 measures oxygenation e The vital measurement of respiratory rate Provides immediate picture of the patient condition Airway management Ongoing assessments provides assurance that the ETT is maintained in the trachea e Safety during transports extubation ventilation disconnects etc Ventilator weaning Assessment of manual or mechanical ventilation efficacy Evaluation of the Respiratory Compromised Intubated Patient Need for treatment suctioning and medications can be continuously assessed Assessment post treatment Resuscitation Monitoring e Verification confirmation of tracheal intubation e Assess efficacy of CPR early indicator of return of spontaneous circulation ROSC Informs the clinician to effectiveness of cardiac compression Recommended AHA guideline Hypoventilation due to sedation analgesia or overdose EMMA Key Features Easy to use Quantitative Mainstream device Pocket sized lightweight 60 grams Battery powered 2 AAA Alarms amp indicators Infant through adult population No calibration required 0000 8143 Main
4. l be displayed after two breaths and updated every breath What are the numbers displayed at start up The numbers displayed at start up specify the unit s software version How do switch off EMMA EMMA will automatically switch off after 15 seconds if the Airway Adapter is removed If there is no breath detected EMMA will switch off automatically after 2 minutes EMMA Monitor will only switch off after 2 minutes if the Alarm Silence has been activated and no breath has been detected for 2 minutes If EMMA Monitor is turned on and never used on a patient no breathing detected it will automatically switch off after 2 minutes In which environments can EMMA operate EMMA is recommended to be operated at temperatures within the interval of 5 to 50 C 23 to 122 F The operating humidity should be in the interval of 10 95 RH and the atmospheric pressure 70 120 kPa EMMA displays CO2 in partial pressure units kPa or mmHg and compensates the displayed value for the actual barometric pressure EMMA can be stored in temperatures between 30 to 70 C 22 to 158 F The storage humidity should be in the interval of 5 100 RH condensing and the atmospheric pressure 50 120 kPa non condensing What alarm functions is EMMA equipped with EMMA is available with a comprehensive alarm system with both visual and audible alarms for no adapter check adapter no breath detected low battery low ETCO2 EMMA monitor a
5. n do I need to change the batteries The operating life time with lithium batteries is 12 hours of normal use and 8 hours with alkaline batteries Remove the batteries from EMMA if it is not likely to be used for 90 days or more Can the Airway Adapter be sterilized No EMMA Airway Adapters are designed for single patient use Can the Airway Adapter be kept inline continuously Yes but should be monitored for moisture condensation and contamination What is EMMA s start up time EMMA has full accuracy within 5 s after switched on How does EMMA measure ETCO2 The measurement of ETCO2 is done with an infrared micro bench A microprocessor continuously calculates ETCO2 concentrations from the infrared light absorption measurement done through the windows of the Airway Adapter How does the battery indicator work A green light indicator is lit when the battery status is OK The green indicator will start blinking continuously when there is less than 30 minutes left of use only when using alkaline batteries How is ETCO2 and breathing visualized Both ETCO2 and respiratory rate are visualized on LED numeric displays A large easy to read 14 segment bar graph gives immediate visual feedback for ETCO2 concentrations breathing activity or alarm situations How quickly does EMMA display ETCO2 and respiratory rate values The ETCO2 values are displayed after one breath and updated every breath Respiratory rate wil
6. nd high ETCO2 EMMA monitor What are the default alarm settings The default settings are 50 mmHg 7 0 kPa for high ETCO2 and the low ETCO2 is set to OFF Can the alarms be adjusted Yes the HIGH and LOW ETCO2 alarm limits can be adjusted It is also possible to switch off the limits if necessary Carefully 0000 8143 follow the instructions in the EMMA User s Manual How do I silence an alarm An alarm can be silenced by pressing the Alarm Silence button The top segment of the bar graph will change color to red How long is an alarm silenced for The alarm is silenced for 2 minutes What will happen if the alarm is silenced and no breath is detected within the 2 minutes period of time If no breath is detected within the 2 minutes period of time the unit will shut off If breathing re appears within the 2 minutes period of time the unit will reactivate the alarm system and measure normally How loud is EMMA s alarm The audible alarm level of an EMMA Monitor is higher than 2 80 dB A What is the audible alarm sequence on an EMMA Monitor When an alarm is detected the alarm status indicator yellow led on top of the bar graph is lit with a steady yellow light and one audible beep every 24 second When the alarms No Breath or ETCO2 High Low have been present for 40 seconds the Alarm Status Indicator will start to blink and an audible three tones beep every 24 second The indicators will keep blinking a
7. nd the three tone beeps will be repeated until the Airway Adapter is detached from the device or after 2 minutes if the alarm silence key has been pressed Can EMMA be used in Home Care Yes when EMMA is used by authorized and trained health care professionals What are the advantages vs traditional sidestream monitoring Unsurpassed mobility compared to EMMA Cables and tubing can represent a hazard in an emergency situation How often do I need to calibrate EMMA EMMA does not require any routine calibration Gas readings should be verified with a reference instrument at regular intervals How do I zero EMMA To perform a zeroing carefully follow the instructions in the EMMA User s Manual How often do I need to zero EMMA A zeroing of the measurement should be performed whenever an offset in gas readings is discovered For example if EMMA would display a non zero ETCO2 value when switched on Zeroing is also recommended after 500 hour of operation How do I clean EMMA EMMA can be cleaned using a cloth moistened with isopropyl alcohol EMMA FAQ s and Features EMS Emergency Medical Service Why Capnography Ventilation e EtCO2 measures ventilation e SpO2 measures oxygenation e The vital measurement of respiratory rate e Provides an immediate picture of the patient condition Airway management e Ongoing assessments provides assurance that the tube is maintained in the trachea e Safety during
8. oof and water resistant YES NO No need for regular calibration YES NO Instant startup time YES NO Monitoring of adults children and infants YES NO Low cost of ownership YES NO Fast response time YES NO No need for drawing away airway gases from the patient circuit YES NO Clinician can read CO2 values with full attention on patient YES NO 0000 8143 Mainstream vs Colorimetric A Capnometer but Which one If you are deciding which Emergency Capnometer to buy there are many important considerations Some are of obvious importance while other subtle yet critical to your satisfaction and choice Not all technologies are created equal EMMA Colorimetric Detects CO2 YES YES Measures end tidal CO2 YES NO Measures respiratory rate YES NO Visible in dark conditions YES NO Alarm for HIGH or LOW CO2 YES NO Alarm for apnea YES NO Fast startup time YES NO Start measures from the first breath YES NO Eliminates the risk for false proof of intubation YES NO Can be used on patients with cardiac arrest YES NO Can be used continuously in more than 3 hours YES NO 0000 8143
9. s for apnea adapter clogging and high and low end tidal values e Compared to Sidestream EMMA has a rugged shock proof and water resistant design IEC60529 1989 Class IP33 provides the user with absolute portability coupled with reliable monitoring for any emergency situation EMMA has also been designed in accordance with EN 1789 2007 standard for Road Ambulances Unlike sidestream EMMA does not require regular calibration which lowers the cost of ownership EMMA Key Features Easy to use Adaptable Rapid Application Portable Compact 52 x 39 x 39 mm Lightweight 60 grams Rapid Quantitative Measurement End tidal CO2 and Respiratory Rate Infant through Adult use Self contained Mainstream device Battery powered 2 AAA 8 hours normal use Alarms amp Indicators Low cost of ownership 0000 8143 Mainstream vs Sidestream A Capnometer but Which one If you are deciding which Emergency Capnometer to buy there are many important considerations Some are of obvious importance while other subtle yet critical to your satisfaction and choice Not all technologies are created equal EMMA Sidestream Measures end tidal CO2 and respiratory rate YES YES Free from cables YES NO Compact size YES NO Light weight YES NO Portable YES NO Battery powered YES NO Is powered with standard AAA batteries YES NO Designed for ambulance transport and emergency use YES NO Shock pr
10. stream vs Sidestream What are the advantages of EMMA vs traditional Sidestream monitoring EMMA is a CE marked Emergency Capnometer for rapid application proof of intubation and short term CO2 monitoring of adults pediatrics and infants in emergency transport emergency care and intensive care It measures end tidal CO2 and respiratory rate e EMMA provides unsurpassed mobility compared to traditional Sidestream monitoring due to its compact size lack of cables tubing connectors or filters EMMA is self contained and can be directly connected to an endotracheal tube laryngeal mask or facial mask via the Disposable Airway adapter which prevents cross infection ensuring utmost patient to patient hygiene Sidestream monitoring requires tubing connectors and filters lengthening the patient application time introducing unnecessary delays in an emergency situation Compared to Sidestream monitoring EMMA has no warm up time and has full accuracy as soon as switched on and EMMA displays ETCO2 values after only one breath and is updated every breath Respiratory rate will be displayed after two breaths and updated every breath Both ETCO2 and respiratory rate are visualized on LED numeric displays A large easy to read 14 segment bar graph gives immediate visual feedback for ETCO2 concentrations breathing activity or alarm situations EMMA is available with a comprehensive alarm system with both visual and audible alarm
11. transports extubation ventilation disconnects etc Resuscitation Monitoring e Verification confirmation of tracheal intubation e Assess efficacy of CPR early indicator of return of spontaneous circulation ROSC e Recommended AHA guideline Hypoventilation due to sedation analgesia or overdose EMMA Key Features e Easy to use e Quantitative e Mainstream device e Pocket sized lightweight 60 grams e Battery powered 2 AAA e Alarms amp indicators e Infant through adult population e No calibration required 0000 8143 EMMA FAQ s and Features Features for Neonatal and Pediatric Intensive Care Unit Why Capnography Ventilation e EtCO2 measures ventilation e SpO2 measures oxygenation e Provides immediate picture of the patient condition e The vital measurement of respiratory rate Airway management e Ongoing assessments provides assurance that the ETT is maintained in the trachea e Safety during transports extubation ventilation disconnects etc Ventilator weaning Assessment of manual or mechanical ventilation efficacy Evaluation of the Respiratory Compromised Intubated Patient e Need for treatment suctioning and medications can be continuously assessed e Assessment post treatment e Assessment of alveolar emptying Resuscitation Monitoring e Verification confirmation of tracheal intubation e Assess efficacy of CPR early indicator of return of spontaneous circulation ROSC e
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