MODEL 3600i Single Lung PneuView System Operations Manual
Contents
1. Files can also be saved with the Save Project and Save Project as commands found in the File menu of the New Project screen The Save Project command has the same function as the Save Project icon Save Project as will allow the user to save files to different extensions save the project for use in another program or save a copy of a project to another file Trend Testing Trend Testing is valuable in analyzing and documenting the performance characteristics of mechanical ventilation and related equipment over a long period of time With Pneu View trending is available for up to 72 hours To access the trending environment in Pneu View select the Trend option from the menu bar A dialog box appears with Setup Begin and End Setup From Trend Menu This initiates the trend test dialog allowing the user to select conditions and parameters for a trend test A dialog box called Set up Trend Test appears The user will set up the Test Name Test Length Sample Interval in minutes and Tolerance in percent Pull down menus allow the user to choose the graphed parameters The user has a choice of up to four different graphs under Initially Graphed Parameters These can be changed with pull down menus Also in the set up is a list of Measured Parameters The Parameters are listed along with the Measured value and Target value Pneu View generates the measured value the user enters the Target value After all of the values are selected2. it is extremely important that the settings on the test lung compliance and resistance match the settings in the PneuView Program The Gas Reference conditions Barometric Pressure and Gas Temperature should also be set as accurately as possible See Figure 10 for a display of the Test Lung Settings Window PneuView Project Project prj File Edit Data Trend Options Window Help Baseline Pressure Peak Proximal Pressure Ppp Peak Lung Pressure Pip Tidal Volume A verage Inspiratory Flow Peak Inspirat ory Flow Test Lung S N 0101X Inspiratory Time E xpiratory Ratio Breath Rate Gas Temperature feo a Barometric Pressure rea mmHg Gas Reference Conditions JATPX Airway Resistance Rp20 bd Lung Compliance 0 05 v L cmH20 Proximal Pressure a SN1001 Rp20 O 05L cmH20 ATPX Not connected Figure 10 Test Lung Settings window 16 Changing the Test Lung Settings Test Lung S N This should match the serial number on the Pneu View software disk If the serial numbers do not match check both the test lung and software disk serial numbers Call Michigan Instruments if you need a new disk s Airway Resistance This is adjusted by the pull down menu to the right of the Rp value The choice of Rp5 Rp20 and Rp50 is selected by the user NOTE The airway resistance on the test lung must match the resistance value in the Test Lung Settings window Lung Compliance This is a
3. Michigan Instruments Inc Copyright 1999 Michigan Instruments Inc 4717 Talon Ct S E Grand Rapids MI 49512 USA Toll Free 800 530 9939 TEL 616 554 9696 FAX 616 554 3067 email mii michiganinstruments com web site www michiganinstruments com Acrobat Reader Copyright 1987 1996 Adobe Systems Incorporated All rights reserved Adobe and Acrobat are trademarks of Adobe Systems Incorporated which may be registered in certain jurisdictions General Information Program Requirements Your computer system must possess the following minimum specifications to guarantee proper operation of Pneu View ePentium with 100 MHZ Processor or better 10 MB Hard Disk Space available 16 MB RAM e1 Free Serial Port e640 x 480 16 Color Display eWindows 95 Windows 98 or Windows NT Operating System CAUTION Certain screen saver programs and or power management utilities may interfere with the continuous acquisition of data through serial ports Therefore it is important that such programs and utilities be disabled when running the PneuView system particularly during trend testing Technical Support To help ensure maximum performance and productivity from your equipment Pneu View comes with Michigan Instruments commitment to total customer satisfaction If you have a question please call us at 616 554 9696 or 1 800 530 9939 or e mail us at mii michiganinstruments com Technical Support PneuView Michigan Instrume
4. choose the OK button at the bottom of the Set up screen See Figure 12 for display of the Set up Trend Test dialog box PneuView Project Project pri e xj Eile Edit Data Trend Options Window Help i mae Pl i CS Je Vise e eee EARE Measured Parameters ioj xi Pi be n Set up Trend Test x T enco Parameter Measured Low Target Hion funit l ee E 50 emH20 Cl emH20 ee ma inspiratory Time Sample interval 1 0 minutes AEETI xpiratory Ratic Volu Breath Rate e oi Initially Garphed Parameters Average Proximal Pressure Graph 1 fT idal Volume z Peak Proximal Pressure Graph 2 Proximal Pressure 7 Peak Lung Pressure Ti ee idal Volume apl Inspiratory Time Graph 4 Breanne Average Inspiratory Flow Peak Inspiratory Flow L min After confirming setup parameters select Trend Begin to start Yo oe Cancel A OK select Trend End to stop a Trend test session early Proximal Pressure SN 1001 Rp20 0 05L cmH20 ATPX Not connected Figure 12 Set up Trend Test Dialog Box 20 Begin From Trend Menu After the set up is completed The Trend Graph screen is displayed The user is now ready to begin trending Choose the Trend command from the menu bar The commands Set up Begin and End appear Choose Begin to start trending See Figure 13 for display of the Trend Graph Screen NOTE The test lung settings should be entered and adjusted before acquiring and saving data in
5. commands PneuView Reviewing Project Example prj File Edit Data Trend Options Window Help New Project al e E A E End Save a A a cE EA EA Open Project Gaye Project Bales oix Reese lel B Save Miajees Ese ol Reference Measured Units J welcome tothe PneuView Single Lung Test Lung system ula Eisicd lahar ila 5 1001 R Gi one hour Print Setup Trend Report BS ieee a any time Data Table Report gt Lx Menu Notes Window Exit Ax In general Peak Inspirat oak trecine E Parameter Sample 1 e Se Sample 5 a teste mes Inspiratory Time L ae aa ted whil Expiratory Ratio il 0 00 0 00 0 00 i aean toj Breath Rate i Peak Proximal Pressure Peak Lung Pressure the Menu tc Average Inspiratory Flow Peak Inspiratory Flow Proximal Pressure 43 00 T 00 15 Peak Expiratory Flow 49 7 50 0 L min 0 00 15 0 00 15 4 b SN1001 Rp20 0 05L cmH20 ATPX Communication paused Figure 29 Print Commands From File Menu Creating and Saving Templates A template is a set of specific Measured Parameters Graphs Reference Conditions and Notes inputed by the user to create a test for a specific ventilator or other application With PneuView templates can be created in the New Project screen or the Data Table 33 To create a Template go to New Project from the PneuView Title Sc
6. file s window This window presents a file list and the drive and directory where these files are located All the files within the named directory are displayed alphanumer Ically Reviewing a Data File When a data file is opened for review the file name is located at the top left of the screen A graph will be displayed along with a scroll bar at the bottom of the screen Any text that was entered at the time of the test will appear in the Notes window See figure 23 on page 28 for a display of a reviewed file 27 PneuView R Project autovent 2 prj BEE File Edit Data Trend Options Window Help oo ool oe el lel Be lal e a Test of Autovent transport ventilator Baseline PLESSUE cmon PED Peak Proximal Pressure Ppp Peak Lung Pressure Pip Tidal Volume Vt Minute Volume Ym Average Inspiratory Flow Fia Peak Inspiratory Flow Fip Inspiratory Time Ti Expiratory Ratio LE Breath Rate BR oicoioiqoioioioiolioaioa o 2 5 fz D E a T 4 5 2 a R Aah a a a SE A me a S 0 0 25 0 5 Time minutes Figure 23 Review File Display The horizontal scroll bar at the bottom of the screen controls the time scale of the data recorded By holding down the left mouse button with the cursor on the scroll bar the user can drag the arrow to a specific time of that test The waveform updates with the time scale The arrows on the keyboard will also adjust the time scale The measured paramet
7. if the unit needs to be shipped via United Parcel Service or other carrier place the unit in the original shipping carton Replacement cartons are available at Michigan Instruments See Factory Service Policy for servicing instructions 44
8. parameters can also be selected by pressing the space bar on the keyboard To clear all of the parameters select the Clear All button To select all of the parameters choose the Select All button When OK is selected a Data Table window appears See Figure 16 for display of the Data Table window PneuView R Project autovent 2 prj File Edit Data Trend Options Window Help mejeje fol el ele H Begin Save EX EndiSave Measured Parameters ioj xj A alal je Bassline PIES SMG PED Peak Proximal Pressure Ppp Peak Lung Pressure Pip Tiare M T Minute Volume Vr Average Inspiratory Flow Fie el e Bil 9 18 98 ES Hide m a tie 1 Parameter Sampie LE eak Lung Pressure idal Volume inute Volume erage Inspiratory Flow eak Inspiratory Flow spiratory Time Expiratory Ratio teath Rate Proximal Pressure 4 6 Time seconds SN 0101x Rp20 0 05 L cmH20 ATPX Not connected Figure 16 Data Table Window 3 There are three ways to collect tabulated samples A Click the tabulate table button on the Data Table tool bar with the mouse See Figure 17 for a display of the Tabulate Table button BEES Figure 17 Tabulate Table Button B Press F5 on the keyboard or C Right click the mouse button in the top portion of the Data Table dialog box and select Tabulate Other functions by the right click include Open Save Save as Clear and Set up 23 There are four other buttons on the too
9. proper mechanical and electrical calibration of the system This calibration can be checked using the following equipment and procedures Equipment Needed e Pneu View 3600i Software Test Lung operating with Pneu View Software e Calibrated 1 liter syringe or other calibrated volume injector e Independent reliable pressure gauge or manometer 1 or 1 cmH20 The following procedure can be used to quickly check the calibration of your 3600i system It is not a calibration procedure and does not guarantee the accuracy of the system but it will indicate if a more thorough recalibration is necessary Procedure 1 Enter the Calibration mode of PneuView Displayed pressures for the airway and lung should read zero 0 0 2 Set the lung compliance at 10 L cmH20 3 Draw 1 0 liter of air into the insertion syringe then connect it to the airway of the test lung 4 Insert the 1 0 liter of air into the adult test lung using a smooth steady motion NOTE It is very important that the syringe is empty after injecting air into the test lung If the syringe is not completely emptied the remaining air in the syringe will affect the volume and pressure readings in the lung 5 Wait 2 seconds after the insertion to allow pressure to stabilize in the sys tem then record the pressure generated in the lung Verify that it falls within the acceptable tolerance as shown in Table 1 below 39 6 Repeat these insertions into the lung using
10. test lung this box should not be checked At the bottom of the title screen are four more selections called Communications Test Lung Start From Scratch and Exit Communications sets the correct serial communications port for data coming in the computer Test Lung allows the user to set the correct test lung settings before acquiring data Start From Scratch allows the user to set up or customize a New Project screen Exit will close the PneuView program See figure 1 for PneuView Title Screen display Figure 1 PneuView Title Screen New Project Select New Project from the PneuView Title Screen to begin acquiring data from the test lung The Calibration Zero Transducers dialog box appears 10 This box allows the user to calibrate the transducers before acquiring data See Figure 2 for the Calibration Zero Transducer dialog box alibration Zero Transducers x Instructions 1 Make sure the Test Luna power switch is ON and the Measurement displays are active Press Start Stop 4 D button if necessary 2 Vent the Test Lung Airway to atmosphere then press the Zero buttons for Proximal pressure and Lung pressure 3 Vent the High Pressure tansducer inlet to atmosphere then press the Zero button for High Pressure 4 Reference the User 3 input to the desired baseline then press the Zero I button for the User 3 channle Measurement Proximal pressure Lung pressure High pressure User 3 Start St
11. the TTL to 05 L cemH20 Select an Rp5 resistor in the airway turret assembly With the Pneu View running enter the correct compliance and resistance values in the Reference Conditions Window Display Tidal Volume in the Respiratory Parameters window and Waveform Display window Enter a description of the demonstration in the Notes window Using a ventilator or resuscitation bag ventilate the TTL at a rate of 12 breaths per minute and tidal volume of approximately 800 liters Note the tidal volume measured Change the compliance of the lung to 03 then 02 and finally 01 and note the lung volumes with each change Save this demonstration as a template for future demonstrations Example D AutoPEEP caused by increased upper airway resistance e g use of small endotracheal tube Procedure 1 2 3 4 8 Set the airway resistance on the turret for Rp20 Set the lung compliance at 08 L cmH20 With Pneu View running enter the correct conditions in the Reference Conditions window Display proximal airway pressure and lung pressure in the Waveform Display window Enter a description of the demonstration in the Notes window Ventilate the TTL at a rate of 26 BPM and a tidal volume of 1 0 Liters with a baseline PEEP of zero Note the inadvertent PEEP in both proximal airway and lung pressures caused by the increased airway resistance Also note the difference in the baseline pressure of the proximal airway and
12. the Trend mode PneuView BEE File Edit Data Trend Options Window Help mjo eje gt n E Olaf E esoe aese fa ee Graph Tidal Volume oj x 0 5 0 75 1 Time Hours Trend Graph Baseline Pressure iof x 05 O75 1 Time Hours Trend Graph Peak Inspiratory Flow ioj x 0 5 Time Hours 2 a 1e d Trend Graph Breath Rate Jol x os Time Hours Begin data acquisition SN 0101x Ap20 0 05 L cmH20 ATPX Receiving 108 Figure 13 Trend Graph Screen End From Trend Menu This causes a trend test in progress to be terminated before its set duration is complete The user is prompted to save or abort the test End is disabled if a trend test is not in progress Once the test is completed a dialog box prompts the user to save the data as default or user selected file name Name the project choose Save and the file will be stored with a trd extension This file can be printed or reviewed later 21 Tabulated Data There is a provision to save individual sets of calculated measured parameters as raw data In Pneu View saving data in this manner is called Tabulating Choose the Tabulate function to take a snap shot of the current respiratory parameter values in the Measured Parameters display window Each time the Tabulate key is pressed another snap shot is taken and appended to the last snap shot creating a table of respiratory parameters in memory NOTE Once the table is s
13. this feature by right clicking the mouse in the Direct Measurement window Reviewing Files Reviewing files allows for the critical examination of saved data files When data is selected for review a static display of the entire data set is displayed in the graph window Special features in this mode allow the user to select specific segments of the data set for closer analysis Files can be opened from the Open Project area in the Pneu View Title Screen or from Open Project in the file menu in the New Project screen Once this command is selected the Open PneuView file s window is opened These files can be opened to review data files trend data and tabulated data See figure 22 on Page 27 for display of Open PneuView file s window 26 PneuView R Project autovent 2 prj File Edit Data Trend Options Window Help Measured Parameters iol x Bassline PLESSUE ummm PED Ppp Pip Look in I Projects gt El c vt vim a 900c test 1 prj 3a PB7200 test pri Average Inspiratory Flow a autovent 2 prj a range test pr Peak Inspiratory Flow x autovent no 1 prj x sn 91198 prj Inspiratory Time i fa bear 33 test pri a cnedsh a Infant Star 1 prj ala elo Open PneuView file s File name autovent 2 pi pee ee Files of type Project files pri Proximal Pressure Open a previously saved Project SN 0101x Rp20 0 05 L cmH20 ATPX Not connected Figure 22 Open PneuView
14. 02 01 L cmH20 Resistance 5 20 20 20 50 cmH20 L sec 35 Procedure 1 10 11 Adjust the compliance and resistance on the 3600i as called for in Test 1 of the above protocol Attach the patient connection of the ventilators breathing circuit to the airway of the 3600i Set the ventilator as described in Test 1 of the above protocol With the Pneu View software running on your computer enter the above protocol in the Notes window Select the respiratory parameters from the Parameters window in Pneu View to be displayed and recorded in the table Select any waveforms to be displayed while testing Verify that the compliance and resistance values entered in the Reference Conditions window corresponds with the 3600i setting When respiratory values appear on the screen save them with the Tabulate function This will be Test 1 Run Tests 2 through 5 of the protocol adjusting the 3600i ventilator and reference conditions between each test Use the Tabulate function for each set of parameter values Save this format as a template for future testing Save the tabulated file and print a report of the table and notes comparing the ventilator settings to the measured values Example B 24 hour trend test to evaluate an unexplained change in tidal volume after two hours of ventilator use NOTE A trend test can be set up to run for up to 72 hours Procedure 1 2 O ORI PO OP Adjust the compliance and resist
15. 100 00 0 00 90 41 1589 20 L 0 48 45 0 48 45 i 0 0 0 0 0 0 16 3 2364 0 L min 0 48 45 0 49 00 0 0 0 0 3 6 34 5 4304 4 L min 0 48 45 0 49 00 i 0 0 0 0 30 0 29 8 30 0 L min 0 00 15 0 00 15 Peak Expiratory Flow f 0 0 0 0 50 0 49 7 50 0 L min 0 00 15 0 00 15 Proximal Pressure SN 1001 Ap20 0 05L cmH20 ATPX Not connected Figure 26 Trend Test Results Window 30 The Trend Test Results window list the test name test length sample interval total samples and test date along with the reference conditions The Low Target and High values correspond to the values that were entered in the Trend Set up The Minimum Average and Maximum are the actual values of the parameters recorded during the test The Minimum time is the time of the minimum value and the Maximum time is the time of the maximum value Review Graphs allow the user to view the entire graph or graphs of the trend test Choose the graph s from the pull down menu and select Create Graph The graph will appear on top of the Test Results A horizontal scroll bar at the top left of the graph allows the user to view the entire test This is accessed by left clicking the mouse on the scale and sliding the arrow in either direction A time scale is located at the bottom of the graph that will correspond with the scroll bar There is also a pull down time scale menu located to the right of the scroll bar This will change the time scale on the graph without using the scro
16. MODEL 3600 Single Lung Pneu View System Operations Manual Manufactured By B Michigan Instruments 4717 Talon Court SE Grand Rapids MI 49512 USA Tel 800 530 9939 or 616 554 9696 Fax 616 554 3067 e mail mii michiganinstruments com Website www michiganinstruments com Table of Contents INTRODUCTION 1 Description General Information about the TTL TTL As compared to typical patients The TTL as Related to Ventilator Testing Standards Specifications Features and Components 2 Setup and Operation Lung Setup 3600i Computer Interface Setup Single Lung Simulation Measuring Oxygen Concentration Care of 3600i after Ventilation with Humidified Gases 3 Software Operation Limitation of Liability General Information Software Installation Welcome to PneuView New Project Display Windows A Measured Parameters B Notes C Graph Test Lung Settings Changing the Test Lung Settings Saving Data The Data Buffer Begin End Save Other Save Commands Trend Testing Setup From Trend Menu Begin From Trend Menu End From Trend Menu Tabulated Data Measure Reviewing Files Reviewing a Data File Changing the Graph Window Reviewing Trend Test Files Reviewing Tabulated Files Printing Files 4 Applications Ventilator Testing WOWNN NNDDDO Classroom Instruction Demonstration Other Common Applications 5 Maintenance and Service Calibration Check Model 3600i Leak Test Wa
17. Peak Lung Pressure Tidal Volume Mt Data Table a Minute Volume Vn a Average Inspiratory Flow Fie 3 z 3 PIE al BE E all 9 729798 E gt Hide i Fig Peak Inspiratory Flow Inspiratory Time i ae eS Z eono Te sacie Expiratory Ratio E Breath Rate Proximal Pressure Peak Lung Pressure idal Volume Expirator Ratio eath R sta Proximal Pressure T SN 1001 J Rp20 r ee mem Figure 28 Data Table Display This table displays all of the respiratory parameters along with the reference conditions In the right hand corner of the table is a Hide button This will move the display into the background so the user can view other functions of the programs To recall the table select the Tabulate button on the tool bar Printing Files To print choose Print from the file menu This will allow the user to print a number of reports listed below Also the preview command allows the user to view the report before printing Basic Report This will print the Measured Parameters Notes Graphs and Reference Conditions from the New Project Screen 32 Trend Report This will print the results of a trend test including the graphs measured parameters and reference conditions Data Table Report This will print the tabulated data and notes from a data table Notes Notes are saved with a New Project or a Trend Test and can be printed seperately from these files See Figure 29 for a display of the print
18. Pneu View Title Screen the Acquire button will default to the on position and begin acquiring data To pause the display press the Pause button To resume the display press the Pause button again See Figure 4 for a display of the Acquire button and Pause button Figure 4 Acquire button and Pause button NOTE When Acquire is stopped button out data is no longer being acquired When restarted the display begins where it was stopped When in Pause data continues to be acquired When restarted the data display resumes as if it was never stopped Display Windows A Measured Parameters This window is a display of respiratory parameters as calculated by PneuView The user has a choice of 24 different parameters 12 that can be selected from a pop up menu To access the pop up menu move the cursor into the Measured Parameter window and right click the mouse Choose Set Up from the menu in the dialog box This will open the Se ect Parameters Window allowing the user to check the desired parameters See figure 5 for the Select Parameters window PneuView laj x File Edit Data Trend Options Window Help Pen eas PES YC fis es i A a Mes en Tes elect Parameters MEE Proximal Pressure oa Baseline Pressure High Pressure Peak Proximal Pressure I User 3 Value Peak Lung Pressure Pip I Volume Tidal Volume vt I Flow IV Baseline Pressure I Average Proximal Pressure M Peak Proximal
19. Pressure L Average Lung Pressure M Peak Lung Pressure M Tidal Volume IV Minute Volume IV Average Inspiratory Flow M Peak Inspiratory Flow I Average Expiratory Flow Peak Expiratory Flow I Average User 3 L Peak User 3 Graph Window Proximal Pressure Vol m Weeaat ine Time I Expiratory Time 2080 an M Expiratory Ratio Minute Volume Ym Average Inspiratory Flow Fia Peak Inspiratory Flow Fip Inspiratory Time Ti Expiratory Ratio LE Breath Rate BR 2 000010 e m GA n F n 150 M Breath Rate 5 1 500 100 a 2 E mi1 000 z gz pei o x E gt 50 4 2 oi 1002 2 Clear All PA Select Al 150 ne Q 200 X Cancel SN 0101x Rp20 0 05 L cmH20 ATPX Communication paused Figure 5 Select Parameters Window Other commands on the menu are Print Preview Print and Print Setup The Print commands allow the user to organize files for printing See page 32 for instructions on printing files On the tool bar is a Measured Parameter button This button will create a new parameters window if one was not created during set up See figure 6 for a display of the Measured Parameter button Figure 6 Measured Parameter Button NOTE The Select Parameters window can also be accessed by selecting the Measured Parameter button then going to Window on the Menu bar and selecting Set Up 13 B Notes The Notes window is a text editor and provides capabilities for entering editing and saving tex
20. ak Proximal Pressure Ppp Peak Lung Pressure Pip Tidal Volume Volume RE Flow bd iV Visible gt Color IV Visible gt our Minimum 122 Minimum 0 Minimum 1 200 Maximum 120 Maximum 2000 Maximum 200 Time Scale 10 Seconds x gt gt Background cota 2 001 lee X Cancel Proximal Pressure Watch here for Help Hints SN1001 Rp20 0 05L cmH20 ATPX Not connected Figure 8 Graph Set Up Dialog window The Graph button on the tool bar is used to create a new graph window if one was not created during set up See figure 9 for a display of the Graph button Figure 9 Graph Button NOTE The Graph Set Up Dialog window can also be accessed by selecting the Graph button then going to Window on the Menu bar and selecting Set Up Test Lung Settings The Test Lung settings are displayed on the status bar at the bottom of the New Project screen To access these settings double click the mouse on the status bar These settings which can be adjusted by the user using a pull down menu include Lung Compliance Airway Resistance Gas Temperature Barometric Pressure Gas Reference Conditions and Communications Port The Serial Number of the Test Lung is also displayed here Verify that the serial number of the test lung and the software are the same 15 The Test Lung Settings can also be selected from the Pneu View Title Screen under Test Lung NOTE In order for Pneu View to maintain accuracy
21. ance on the 3600i to roughly simulate the patient on which the ventilator had been operating Attach the breathing circuit of the ventilator in question to the airway of the 3600i and set the ventilator to operate as is was on the patient With Pneu View running enter the Ventilator Performance Trending mode Enter the correct reference conditions in the Pneu View software Select the Parameter Data Trends including tidal volume to be displayed In the Notes window enter a description of the problem you are assessing Enter the test setup Length of Test 24 hours Interval Time 15 minutes Enter Begin Test and let the ventilator run 24 hours without interruption View the trended data add notes save the results or print a report Classroom Instruction Demonstration The 3600i Single Lung Pneu View System is a dynamic lung model which can be of great assistance in the classroom The adjustable lung compliance and 36 resistance allows the instructor or student to demonstrate or investigate a wide variety of ventilation phenomena The relationships between pressure volume and flow are more easily understood when dynamically displayed with the TTL and the Pneu View software provides yet another mechanism to demonstrate and evaluate the patient TTL Example D The distribution of delivered tidal volume with worsening unilateral lung disease e g pneumonia Procedure 1 2 3 4 8 9 Set the lung compliance of
22. and adjusted before acquiring and saving data These conditions not only serve as a reference when reviewing data but are necessary for the proper calculation of volume and flow parameters When data is saved the test conditions are saved as a permanent part of the file Retrieving a template will not change the test conditions as the original conditions are necessary to generate accurate calculations and waveforms Saving Data The principle function of the New Project screen is collecting and saving data from the TTL Digital pressure signals are taken from the TTL every 10 milliseconds This raw pressure data is analyzed to determine fundamental information such as the beginning and end of breaths and peak and baseline pressure points Saving the data allows the user to review and reproduce the displayed breath parameters and graphs as it was originally acquired 18 Pneu View provides three methods of saving up to 30 minutes of this raw pressure data The Save Data Buffer under the Data menu the Save Project commands in the File menu and toolbar and the Begin and End buttons on the toolbar provide methods of saving the raw pressure data The Data Buffer The Data Buffer is a memory buffer established by Pneu View containing the last 30 minutes of data collected from the TTL This data represents the pressures collected from the test lung and upper airway Pressure data is collected every 10 milliseconds and 30 minutes worth of the mo
23. andards Reference Standard ANSI Z79 7 Standard ISO 5469 1987 Standard ASTM F 1100 90 Specifications Tidal Volume Capacity 2 0 Liters Residual Lung Volume 1 022 Liters Lung Compliance Adjustable 01 to 10 L cmH20O Accuracy 3 at calibration volumes Airway Resistance Adjustable 5 20 or 50 cmH2O L Sec Accuracy 5 at calibration flows Size 25 x10 x13 Weight 25 Pounds in case Power Requirements 12 VDC 500 mA 110 or 220 VAC adaptor supplied Data Link DB9f pc serial cable Features and Components Frame The 3600i is built around an aluminum frame which provides stability for the components of the lung The Lung Bellows The lung is simulated using an elastomer bellows constrained by aluminum rings to ensure that filling of the lung results in a vertical rise of the top plate The bellows at rest retains a gas volume typical of an adult s functional residual capacity for a single lung The bellows secured to the top plate and frame of the 3600i is designed to withstand normal environmental conditions and inflation to at least 150 mmHg pressure Compliance Setting The lung compliance is simulated using a precision steel alloy spring stretched between the top plate of the lung and the track on the side of the TTL frame Lung compliance is adjusted by positioning the spring at calibrated points along the top plate The greater the distance the spring is positioned from the hinge poin
24. ants that the supplied distribution disks and documentation are free from defects in materials and workmanship for 90 days after delivery Michigan Instruments will replace defective disks or documentation at no charge provided you return the item to Michigan Instruments within 90 days of delivery Except as provided above Michigan Instruments makes no warranty or representation either implied or expressed with respect to this program or doc umentation including their quality performance merchantability or fitness for a particular purpose Because computer programs are inherently complex and may not be completely free of errors you are advised to verify your work In no event will Michigan Instruments be liable for direct indirect special incidental or consequential damages arising out of the possibility of such damages In particular Michigan Instruments is not responsible for any costs including but not limited to those incurred as a result of lost profits or revenues loss of use of the Pneu View program or computer hardware loss of data claims by third parties or for other similar costs In no case shall Michigan Instruments liability exceed the amount of the payment price Copyright Under the copyright laws neither the documentation nor the software may be copied photocopied reproduced translated or reduced to any electronic medium or machine readable form in part or in whole without the prior written consent of
25. aved no more tabulations can be added to that file To Tabulate Data 1 From the New Project screen choose the Select Parameters window by clicking on the T button on the Tool Bar See Figure 14 for display of the Tabulate button See Figure 15 for display of Select Parameters window E Figure 14 Tabulate Button PneuView R Project autovent 2 prj le x File Edit Data Trend Options Window Help malele ul sl eel talal af alo Select Parameters zox Proximal Pressure Baseline PIESS MG GI High Pressure Peak Proximal Pressure O IF User 3 Value Pip a I Volume vt o IL Flow Vim a M Baseline Pressure Average Inspiratory Flow Fia a m reheat aul Peak Inspiratory Flow Fip oO C Average Lung Pressure Inspiratory Time Ti a M Peak Lung Pressure Expiratory Ratio LE a M Tidal Volume Breath Rate BR i IV Minute Volume ZI vV Average Inspiratory Flow M Peak Inspiratory Flow I Average Expiratory Flow I Peak Expiratory Flow I Average User 3 I Peak User 3 Graph Proximal pressure lung volume ai Z ris ame Time I Expiratory Time sue alir M Expiratory Ratio D 150 M Breath Rate 3 4 500 100 D g s 50 2 10605 0 gt 50 o a0 2 Clear all PG Select all 5 M fT tll aaa aa 9 200 E SN 0101x Rp20 0 05 L cmH20 ATPX Not connected Figure 15 Select Parameters Window 22 2 Check the parameters to be measured with the left mouse button The
26. chigan Instruments at 1 800 530 9939 1 Description General Information about the TTL The Model 3600i Single Lung TTL provides an accurate simulation of the structures and mechanics of the adult human pulmonary system An elastomer bellows with a residual capacity typical of an adult is used to simulate the lung Gas is inserted into the lung through a simulated airway This insertion causes the vertical expansion of the lung and a corresponding rise of the top plate A tidal volume scale behind the top plate and a pressure gauge on the front of the unit can be used to verify measurements from a ventilation device The lung compliance is accurately set and adjusted using a precision steel alloy spring Airway resistance is simulated using a turret with adjustable settings These features allow the TTL to realistically simulate a wide variety of healthy or diseased lung conditions Several special features add to the versatility of the TTL An oxygen sensor port on the back of the unit and auxiliary pressure ports adjacent to the pressure gauge provide sites for the tie in of related monitoring equipment The 3600i is completely portable and is mounted in a durable ABS plastic carrying case The top of the case is removed for use and should be replaced during transport Rubber feet on the bottom of the case provide stability and protection for the unit during use and transport The 3600i houses an Electronic Interface Module wh
27. djusted by the pull down menu to the right of the Compliance number The range is adjustable from 01 to 10 L cmH20 Note The Lung compliance on the test lung must match the compliance setting in the Test Lung Settings window Gas Reference Conditions Again this is adjusted by the pull down menu The following choices are available ATPX Ambient Temperature current gas temperature barometric Pressure current barometric pressure and X relative humidity Data collected from the TTL is collected at ambient ATPX conditions When ATPX is selected as the reference unit the volumes and flowrates calculated and displayed will represent those that occurred at the TTL under the current ambient conditions This is the default setting of the Pneu View software ATPD Ambient Temperature current gas temperature barometric Pressure current barometric pressure under Dry conditions 0 humidity ATPS Ambient Temperature current gas temperature and barometric pressure current barometric pressure under Saturated conditions 100 humidity Since relative humidity has virtually no effect on the calculations within the operating range of the TTL selection of ATPS will produce the same results as selection of ATPX BTPS Body Temperature 98 6 F 37 C and Barometric Pressure 760 mmHg 101 3 kPa under Saturated conditions 100 Humidity Selection of BTPS will cause Pneu View to display volume and flowrate inf
28. dy weight I E Ratio 1 2 Table 1 Pulmonary disease is often associated with a change in lung compliance and or airway resistance Table 2 shows some of the changes that are typically seen in restrictive and obstructive lung disease Obstructive Disease Restrictive Disease Examples Asthma Pneumonia Emphysema Pulmonary Fibrosis Bronchitis Kyphoscoliosis COPD Severe Obesity Airway Neoplasms Lung Neoplasms Changes Increased Airway Resistance Decreased Lung Compliance Increased Total Lung Volumes Decreased Lung Volumes Decreased Expiratory Flowrates Increased Respiratory Rate The TTL as Related to Ventilator Testing Standards Table 2 To evaluate the performance of any mechanical ventilating device a quantita tive test lung which dynamically simulates human physiology should be utilized Testing should take place on every ventilator before it is used in the clinical set ting and periodic testing is needed to ensure that the unit is performing in accor dance with established standards and the manufacturers specifications Standards published by the American National Standards Institute ANSI the International Organization of Standardization ISO and the American Society for Testing and Materials ASTM outline minimum performance standards for mechanical ventilators These are the standards most frequently used by ventilator manufacturers The 3600i meets or exceeds the requirements set for testing in these st
29. e end purchaser excluding the diaphragm gauge contained therein All repairs necessitated by malfunction of this equipment during the warranty period when in normal use in accordance with instructions provided will be accomplished at the Michigan Instruments Inc factory without charge other than the cost of transportation to the factory Michigan Instruments Inc under takes NO LIABILITY HEREUNDER FOR SPECIAL OR CONSEQUENTIAL 40 DAMAGES or any other expense or liability beyond the furnishing of materials and labor for the repairs covered hereby The warranty does not cover mars and blemishes scratches or denting which may result from normal use of this equip ment or malfunctions due to mishandling or damaging accidents This warranty is VOID unless the equipment to be repaired is returned in the original protective factory carton If unavailable the protective carton may be obtained from Michigan Instruments Inc If the attached warranty registration card is not returned the warranty period will begin the date the instrument was shipped from the factory This warranty is in lieu of all other warranties express or implied and shall be void as to any products which have been repaired or altered by others or have been subject to misuse or abuse The buyer agrees that this written warranty constitutes the entire agreement as to warranties between the parties Any prior or contemporaneous oral statements which have not been written
30. e oxygen sensor 15 mm fitting into the adaptor 3 Replace the cover when finished Care of the 3600i after Ventilation with Humidified Gases The airway and lung of the 3600i are constructed of noncorrosive materials Typical humidification agents such as sterile water or normal saline will not damage the instrument Any accumulated fluid can be drained out through the oxygen sensor port After any fluids are drained from the unit the 3600i should then be ventilated with dry gas for several minutes For more information on the use of the TTL with specific chemical agents and medications contact Michigan Instruments Inc 3 Software Operation Addendum Pneu View Software Upgrade Version 1 06 Michigan Instruments continues to add to the capabilities of the Pneu View System In response to requests from current and potential Pneu View customers our newest upgrade allows for the export of Pneu View files for import of data into various software applications This feature is described below Export Report Text File This function will allow the user to generate a formatted text file containing the PneuView Notes Tabulated Data and Trend Test Results The text file is formatted to be both presentable as a readable document and easily assimilated into other databases such as Microsoft applications and other dedicated equipment management database systems To export this data go to File on the menu bar then select Export Report Text F
31. ers can be updated by moving the cursor into the graph display and left click the mouse at various times of the test Changing the Graph Window The graph window can be changed to display other waveforms such as baseline pressure or lung pressure To change the Graph window move the cursor into the graph and right click the mouse This will open a window with the commands Zoom in Zoom out Set up Preview Print and Print Setup Choose Set up to open the Graph Setup dialog box See figure 24 for the Graph Set up dialog box 28 PneuView Reviewing Project Example_prj eo x File Edit Data Trend Options Window Help Jar Welcome to the PneuYiew Single Lung Test Lung system Paramete ae it aseline Pressure i 0 34 cmH20 Peak Proximal Pressure Ppp 74 02 cmH20 This is an example Pneuiew Project The project includes these Notes Peak Lung Pressure Pip 1 17 37 cmH20 some associated Data files dat a Data Table tab file and a one hour aran Trand Tast Hr 2 Hel fias The Trand Tast maw he raviay ed at any time Ah A Graph Setup Dialog Xim the Menu Average Inspiratory Peak Inspiratory Flox Proximal Pressure Fome x Fw tst lt it ti sC gea raoa perry A me Emen IF Visble IF Visible tabulated while real Breath Rate Dco X Color gt Color Bph and Measured Minimum 20 Minimum jo Minimum 1200 t from the Menu to Our OWN Maximum 120 Maximum eoo Maximum 200 Graph Windo Time Scale fi 0 Seco
32. ich facilitates the transfer of information from the TTL to a personal computer The module converts pressure signals from the lung and airway of the TTL into digital data The data is then processed by an appropriate personal computer using our customized Pneu View Software The Pneu View program is specifically designed to acquire interpret and display data from the TTL Single breath information to long term trends can be dynamically displayed in real time and or saved for future use Printed reports of all displayed information may also be easily generated The Pneu View Software portion of this users guide provides complete installation and operating instructions The TTL As Compared to Typical Patients The Model 3600i TTL is designed to realistically simulate the mechanics of the adult pulmonary system from the upper airway to the lung It is NOT a detailed model of actual human anatomy However the TTL offers simulation capabili ties and versatility not seen in other devices and is useful for a wide variety of applications The variable lung compliance and airway resistance allow for simulation of both healthy and diseased pulmonary conditions Table 1 offers some typical values for healthy adults However most ventilated patients do not possess these normal characteristics Compliance 05to 15 L cmH20 Resistance 0 5t05 0 cmHe2QO L sec Respiratory Rate 10 to 20 Breaths per Minute Tidal Volume 3to5 mL kg of bo
33. ile The Export Test Report to Text File dialog box appears Select the Pneu View file to be exported and where the file should be exported to in the Save In box Click Save An information box will appear stating The report text file destination directory and file name will be listed has been saved The file will be saved with a ixt extension Export Real Time Data This function allows for the translation of Pneu View data files into delimited ASCII text files that should be readable by any text editor soreadsheet program or data analysis application To export this data go to File on the menu bar then select Export Real Time Data The Save Real Time Data in ASCII Format to dialog box appears Select the Pneu View file to be exported and where the file should be exported to in the Save Inbox Click Save An information box will appear stating The text data file destination directory and file name will be listed has been saved The file will be saved with a txt extension The application that the Pneu View file is being translated for should have the capability to import the delimited format of the Pneu View file All data is translated into rows and columns 3 Software Operation Limitation of Liability Michigan Instruments warrants that the Pneu View software will conform to the published specifications and documentation provided that it is used ona computer system for which it is designed Michigan Instruments also warr
34. indow will open displaying all of the trend files Choose the file that is to be reviewed The Trend Test Results window will open and display the results of the test See figure 26 for display of the Trend Test Results window PneuView Reviewing Project Example_prj BEE File Edit Data Trend Options Window Help maleje uj el ae Baseline Pressu Trend Test Results P x Peak Proximal F p Peak Lung Pres Test Name Trend01 Lung SN 1001 Review Graphs one nou Tidal Volume Length 1 Compliance 0 05 L cmH20 Proximal Pressure JE any time Minute Volume Sample Interval i Resistance praamalkrsssure nmg Menu verage Inspira 3 f Peak IneptotO3 TestDate aaia ani ett Inspiratory Time i Expirstoy Ratio Parameter flow Target High Minimum Average Maximam Unit Min Time Max Time hd Measured Breath Rate 5G 18 00 22 50 22 79 i 18 53cmH20 0 48 45 0 38 00 15 00 18 75 327 21 i 323 00 cmH20 0 48 45 0 48 45 ikeiMenatd J 50 0 62 5 0 0 J 27 7 psi 0 00 15 0 49 00 ae I 5 00 6 25 0 00 2 44 VDC 0 00 15 0 48 45 1000 1250 16360 16150 mL 0 48 45 0 48 45 Flow id J 0 0 0 0 3811 8 0 4304 4 L min 0 49 00 0 49 00 0 00 0 00 0 00 0 00 cmH20 0 00 15 0 00 15 7 00 8 75 45 58 16 27 cmH20 0 48 45 0 57 15 i 20 00 25 00 0 00 18 530mH20 0 48 45 0 38 15 15 00 18 75 247 83 11 78 266 30cmH20 0 49 00 0 49 00 20 00 25 00 0 00 17 23 323 00cmH20 0 48 45 0 49 00 800 1000 o 861 16150 mL 0 48 45 0 49 00 80 00
35. into this agreement are not binding and this contract shall not be rescinded or modified except by a signed agreement Factory Service Policy The Model 3600i Single Lung Pneu View System is covered by a limited two year warranty Return the postage paid registration card promptly to ensure proper registration of your unit and help expedite repairs if they should ever be necessary The Model 3600i is manufactured to very demanding quality standards It is designed to provide years of trouble free service if proper care is taken in its operation This instrument should be used and maintained as outlined in this user s manual To maintain peak performance factory service and recalibration is recommended every two years Requesting Factory Service for Your Model 3600i If you feel that factory service may be required call the Michigan Instruments Service Department at 800 530 9939 Monday through Friday between the hours of 9 00 a m and 5 00 p m EST Please have available the model number serial number and a description of the problem Requests for repair parts or any service related questions should also be directed to the Service Department If your Model 3600i must be returned to Michigan Instruments please observe the following procedures A Use the original carton and packing material It will provide maximum protection during shipping If you do not have the original shipping carton they may be purchased from Michigan Instrume
36. l bar with specific functions The clear button will clear the data table See figure 18 for the Clear button Figure 18 Clear Button Select Parameters button gives the user the option of changing the measured parameters after a tabulation See figure 19 for the select parameters button m Figure 19 Select Parameters Button The Open Project button allows other files to be viewed while tabulating data See figure 20 for Open Project button Figure 20 Open Project Button The last button on the tool bar is the Save Project button This will save all tabulated files See figure 11 on page 19 for the Save Project button NOTE Test lung settings should be entered and adjusted before acquiring and saving tabulated data When a sample is collected the values will be listed as Sample 1 For each sample collected thereafter the data will be listed as Sample 2 Sample 3 etc NOTE No more than 20 samples can be collected in a single table Type any notes for the appropriate sample in the Notes editor below the parameters NOTE By right clicking the mouse in the notes table a window appears with the commands Insert Edit Alignment Font and Word Wrap 24 The file is saved by right clicking the mouse and selecting SAVE or SAVE AS or by choosing the SAVE PROJECT icon on the tool bar of the Data Table window These files are saved as Tabulated Measurement Files tab Measure Choose the Measure function to displa
37. l be added to the invoice 2 Payment is net 30 days 3 Open accounts are subject to credit approval 42 6 Warnings and Cautions Warning Warning Caution Caution Caution Caution Explosion Hazard If this equipment is used to measure flammable anesthetics or other gases provide adequate ventilation and ensure that no leaks are present in the system that would permit the accum ulation of such gases in the electronics enclosure Electrical Shock Hazard When plugged in 12 V is present within the enclosure of the 3600i Attachment removal and servicing of the Electronic Interface Module should be performed only by Michigan Instruments Inc Operate the 3600i within its specified limits Over inflation of the bellows or excessive pressure within the system may cause damage to the bellows gauge or transducers To prevent damage during shipping and handling set and lock the compliance spring at the 01 setting Do not sterilize the 3600i The internal components are not compat ible with sterilization techniques The 3600i should be turned off and unplugged while moving the unit and between uses 43 7 Storage and Shipping The Model 3600i Single Lung Pneu View System is shipped to the customer in a Carrying Storage case which is packaged in a specially designed shipping carton The Carrying Storage case is used to protect the 3600i when not in use and should be used to transport the unit However
38. ll bar Also the color of the graphs and background can be adjusted by the user by using the Avg Color Back Color Min Color and Max Color See figure 27 for a display of the Trend Graph aa PneuView Reviewing Project Example prj File Edit Data Trend Options Window Help mejeje Ao e ejeje e Bo e EE aja ee Back Color Min Color Max Color za 0 00 50 0 I 0 0 27 7 psi 0 00 15 5 00 0 00 0 00 2 44 VDC 0 00 15 1000 16360 204 16150 mL 0 48 45 I 0 0 0 3811 8 0 0 4304 4 L min 0 49 00 0 00 0 00 0 00 0 00emH20 0 00 15 7 00 45 58 15 70 16 27 cmH20 0 48 45 20 00 0 00 17 97 18 53cmH20 0 48 45 15 00 247 83 11 78 266 30cmH20 0 49 00 i 20 00 0 00 17 23 323 00cmH20 0 48 45 800 861 16150 mL 0 48 45 80 00 80 41 1589 20L 0 48 45 i 0 0 I I 16 3 2364 0L min 0 48 45 0 0 f 34 5 4304 4 L min 0 48 45 Proximal Pressure SN1001 Rp20 0 05L cmH20 ATPX Not connected Figure 27 Trend Graph Display 31 Reviewing Tabulated Files To review tabulated files choose Review Data Table under the Data command on the menu bar The Open Data Table window will open and display the saved tabulated data files After selecting the file for review the Data Table window appears with the actual tabulated data See figure 28 for a display of the reviewed Data Table PneuView Reviewing Project Example1 _prj File Edit Data Trend Options Window Help mejeje u ow eje e Ga
39. luding e Performance testing of ventilators and related equipment Classroom instruction on mechanical ventilation equipment techniques and phenomena e Product demonstration and evaluations e Product development and quality control Pulmonary research To offer examples of all the applications for this system would be impossible as new ones are continually being discovered or developed by users of the system The following are examples of some of the common applications for which the Single Lung Pneu View System can be applied Ventilator Testing The Joint Commission on Accreditation of Healthcare Organizations JCAHO states All equipment shall be calibrated and operated according to the manu facturer s specifications and shall be periodically inspected and maintained according to an established schedule as part of the hospital s preventive maintenance program The 3600i is designed to allow performance testing of mechanical ventilators within their range of typical use Protocols for testing may be stored in Pneu View software allowing routine testing to be performed quickly and consistently Adult Ventilator Testing Application Example A The following is a routine test protocol to create a table for documentation of test results Test Protocol Test 1 Test 2 Test 3 Test 4 Test 5 Rate bpm 10 20 20 20 30 Vt mL 1000 800 750 500 500 Flow Lpm 80 60 60 60 40 PEEP cmH20 0 60 60 60 40 Compliance 05 05 02
40. lung Save this as a template for future demonstrations Other Common Applications e Performing in hospital ventilator training sessions 37 Checking ventilator systems for leaks Documentation of preventive maintenance checks of ventilators Demonstrating the difference in cycling and limiting mechanisms in mechanical ventilators Evaluating new mechanical ventilators and ventilation monitoring equipment Identifying optimal ventilator settings for particular patients and conditions Performing work of breathing studies Evaluating resuscitation bag techniques of paramedics respiratory care practitioners and students AND MANY MORE 38 5 Maintenance and Service The 3600i Single Lung Pneu View System is designed to provide years of trouble free service Every unit is calibrated and thoroughly checked before leaving the factory All parts and accessories of the unit are designed for consistent repeatable long term performance Other than replacement of accessories the 3600i is NOT intended to be ser viced by the customer If problems develop which cannot be easily corrected by using this manual please contact Michigan Instruments Service Department at 1 800 530 9939 Michigan Instruments also recommends that the unit be returned to the factory every 2 years for complete recalibration and any necessary repairs Calibration Check The accuracy of all measurements and calculations made by Pneu View is dependent upon the
41. nds 7 gt Background Color Proximal Pressure Figure 24 Graph Setup Dialog Box Up to three graphs can be displayed in this program In Figure 23 Proximal Pressure Volume and Flow are the chosen graphs To change the graph click the down arrow to display the choice of graphs When a different graph is chosen click OK and the graph window will automatically change A multitude of colors are available for the user to choose by accessing the Color button If only one or two graphs are necessary to view uncheck the Visible box The Minimum and Maximum scale are adjusted to correspond to the measurement being displayed The Time Scale will adjust the graph display from 10 seconds up to 30 minutes When all of the changes are complete in the Graph Setup Dialog box choose OK to return to the review file display 29 Zoom in and Zoom Out controls are accessed by choosing the buttons at the top of the screen See figure 25 for a display of the Zoom buttons Figure 25 Zoom In Zoom Out Buttons Zoom in will give the user a closer look of the data in a graph window Zoom out will change the graph to allow more data to appear in the window NOTE The Zoom controls can also be accessed by moving the cursor into the graph window right clicking the mouse and choosing either Zoom in or Zoom out Reviewing Trend Test Files To review a trend file go to the Trend command on the menu bar and select Review A w
42. nts 41 NOTE DO NOT USE THE 36001 CASE AS A SHIPPING CONTAINER It is not designed to withstand the rigorous handling that may occur during shipping Include with the unit 1 A description of the problem s 2 The name and phone number of a contact person 3 A packing slip listing all of the components being returned 4 Ship via United Parcel Service and insure for 6000 00 Ship to Michigan Instruments Inc 4717 Talon Ct S E Grand Rapids MI 49512 ATTN Service Department Upon receipt the unit will be evaluated and a repair estimate prepared for approval Michigan Instruments will contact you with the estimate and wait for approval and purchase order before repairs are started Repairs will be completed within two weeks from the date of approval All units returned to Michigan Instruments must be evaluated and require a 50 00 evaluation fee plus shipping charges This fee will be charged if repairs are not authorized and the unit is returned unrepaired All repairs parts and labor are warranted for 90 days New parts have a one year warranty These warranties are subject to the limitations and conditions of the original warranty and apply only to those components actually repaired rebuilt or replaced A limited number of loaner units are available Ask for details Terms for repair service 1 All repairs not covered by warranty are FOB Michigan Instruments Grand Rapids MI Freight charges wil
43. nts Inc 4717 Talon Ct SE Grand Rapids MI 49512 USA Please include the following information when you contact Michigan Instruments eProduct name serial number and Software Version number of the product eComputer brand model and type of system used with the Pneu View Software Software Installation The enclosed disks provide all of the program files needed to operate Pneu View as it interacts with the 3600i TTL Installation instructions are provided at the beginning of this manual If you any questions about installation please call Michigan Instruments Welcome to PneuView To begin the program click on the Pneu View icon on the Windows desktop The Welcome to PneuView title screen will appear The following buttons can be selected to operate the system New Project Begins a new project and records data from the test lung in real time Select Template Selects an existing template of specific reference conditions notes and display options Open Project Opens an existing project of saved files Working Directory Allows the user to open existing directories or create new ones This conforms to Windows file handling structure Under Select Template there is a check box titled Connect to Test Lung at Start up This box will normally be checked for proper communications with the test lung at start up However if the user would want to open existing projects or create new templates without being connected to the
44. op A D Figure 2 Calibration Zero Transducer Dialog Box To ensure the greatest possible accuracies with this program simply press the Zero buttons See instructions in the dialog box Once the transducers are set at zero press the close button The New Project Screen will appear containing three windows Measured Parameters Graph and Notes Data will appear in the Measured Parameters window and waveforms will appear in the Graph window Text can be typed into the Notes window Each window can be sized as desired enlarged to full screen or minimized From the New Project window other features can be accessed such as Ventilator Performance Trending and Tabulated Data All information can be saved by using the standard Windows Save commands found in the File menu See Pages 18 19 for instructions on saving files Please see Figure 3 on page 12 for display of New Project screen 11 PneuView BEES File Edit Data Trend Options Window Help e eje gt El SI PB A ecanseve Benas A a A a Prozimal PIESS WE PAY 23 64 cmH20 Lung Pressure Pla 16 08 cmH20 Flow Flo 16 6 L min Tidal Volume vt 804 mL Inspiratory Time Ti 0 04 Time Begin data acquisition SN 0101x Rp20 LEA ATPX Receiving 152 Figure 3 New Project Screen The Acquire button the green arrow on the tool bar is used to start acquiring data To the right of the Acquire button is the Pause button When New Project is selected from the
45. ormation after it has been converted to body conditions 98 6 F 760 mmHg 17 The information supplied by PneuView will represent that which would have occurred had the gas temperature and barometric pressure been at body conditions NTPD Normal Temperature 68 F 20 C and barometric Pressure 760 mmHg 101 3 kPa under Dry conditions 0 humidity When NTPD is selected the calculated and displayed volumes and flowrates will be converted to normal conditions This requires that the Gas Temperature and Barometric Pressure reference values be entered as accurately as possible for the conversion calculations to be made correctly The volumes and flowrates displayed will be those that would have occurred had the gas temperature been at normal conditions 68 F 760 mmHg STPD Standard Temperature 32 F 0 C and barometric Pressure 760 mmHg 101 3 kPa under Dry conditions 0 humidity When STPD is selected the volumes and flowrates calculated and displayed will be those that would have occurred had the gas temperature and barometric pressure been at standard conditions 82 F 760 mmHg This requires that the values entered as the Gas Temperature and Barometric Pressure must be entered to represent the ambient conditions as accurately as possible This will ensure proper calculations and conversions for the displayed volume and flowrate information The Importance of Test Conditions The test conditions MUST be entered
46. ppropriate AC power source 3 Turn the power switch located on the front of the unit to the on position 4 The PneuView Software program must be installed and operational on your personal computer See Pneu View Software setup for complete instructions on software installation and operation Single Lung Simulation 1 The desired airway resistance is selected by using the turret assembly on the front of the unit Either Rp 5 Rp 20 or Rp 50 can be chosen To adjust resistance A Turn outside ring on turret assembly counter clockwise until loose B Move resistor selector to the desired resistance C Tighten outside ring by turning clockwise D Attach ventilator circuit to the airway 2 On the right side of the unit select the desired compliance by first loosening the knob located above the compliance spring 3 Grasp the compliance spring and slide the entire mechanism until the pointer is positioned over the desired setting Lock in place by tightening the knob NOTE For accuracy and consistency the compliance spring must be perpendicular to the top plate during use CAUTION Changing the compliance setting while ventilating the lung may cause damage to the unit The TTL may now be ventilated by attaching an appropriate connector from a ventilation device to the turret assembly of the 3600i Measuring Oxygen Concentration in the Lung 1 Unscrew the oxygen port cover on the back of the unit 2 Place an appropriat
47. reen Select the desired measured parameters graphs and reference conditions Type in any notes in the notes window After all the changes have been made go to the Options command on the menu bar and select Save Template The Save Template File dialog box will appear prompting the user to name the template file Type in the file name and select the Save button Templates are saved with a pvt extension See Figure 30 for the Save Template File Dialog Box PneuView Project Project2_prj la x File Edit Data Trend Options low Help e i sf jae se Be a ne E Baseline Pressure Pep Peak Proximal Pressure Ppp Peak Lung Pressure Pip Save in E Template 7 Best Tidal Volume B ic al l a Minute Volume ja avianl pvt a trendtest pvt verage Inspiratory Flow Fi a Default pvt Peak Inspiratory Flow i a Default2 pvt Inspiratory Time i Ai Expiratory Ratio a fy Breath Rate ts p P a setup1 pwt Save Template File Proximal Pressure barn nt nt ee ee tte ee ee eee 00 00 00 00 00 02 00 00 04 00 00 06 SN 1001 Rp20 0 05L cmH20 ATPX Not connected Figure 30 Save Template File Dialog Box 34 4 Applications The 3600i offers a unique combination of versatile lung simulation and compre hensive information gathering and display including a multitude of respiratory parameters and waveforms This makes the 3600i the perfect tool for an end less number of applications inc
48. rranty Agreement Factory Service Policy Requesting Factory Service for Your Model 36001 6 Cautions and Warnings 7 Storage and Shipping INTRODUCTION The Model 3600i Single Lung Pneu View System combines the unique features of the TTL Training Test Lung with the data acquisition and processing capa bilities of a personal computer This system was developed to allow the com prehensive evaluation and demonstration of ventilation devices and principles Pneu View is a Windows based software program that serves as the link between the TTL and computer The interactive environment of multiple overlapping windows the combination of pull down and pop up menus provides a user friendly system that will instill confidence and provide a useful lung simulation data acquisition system Pneu View has many potential applications including e Ventilator Testing e Product Demonstration e Classroom Instruction e Pulmonary Research e Product Evaluation e Design Engineering e Quality Control ORGANIZATION OF THIS MANUAL This manual has been designed for use as a reference manual The beginning sections deal with general descriptions and information about the system Subsequent sections address more specific operations and functions within the Pneu View software Please refer to the Table of Contents for quick and easy reference to the various sections included in this manual If you have any questions or need technical support call Mi
49. st recent digital pressure data is retained in the buffer The Data Buffer is initialized every time a New Project is selected a reference condition has been changed or after data has been saved To save data from the data buffer select Data from the menu and press Save Data Buffer A dialog will appear prompting the user to name the file Begin End Save The Begin Save and End Save buttons are located at the top of the New Project screen When the Begin Save button is selected Pneu View begins and continues saving incoming data until the End Save button is selected When the End Save button is selected the user is given the opportunity to save the data segment under a default name or user entered name If End Save is selected after more than 30 minutes of data has been saved only the last 30 minutes will be saved to a file The data files saved through the Begin End Save commands can be opened for review through the Open Project menu item under File in the New Project screen or through Open Project on the Pneu View Title Screen Other Save Commands Files can be saved with the Save Project button on the toolbar of the New Project Screen As soon as the New Project screen is selected data is being acquired from the TTL When the Save Project button is selected the Save all Current Project Files window will open and prompt the user for a file name See Figure 11 for Save Project button z Figure 11 Save Project Button 19
50. t A menu can be accessed by right clicking the mouse in the notes window The menu commands are File Edit Justification Font and Word Wrap Standard sub menus appear when selecting these commands The tool bar contains a Notes button This button is used to create a new notes window if one was not created during set up or to open an existing notes file See figure 7 for a display of the Notes button Figure 7 Notes Button NOTE The Notes menu can also be accessed by selecting the Notes button then going to Window on the Menu bar and selecting Set Up C Graph The Graph window is capable of displaying real time graphs waveforms of up to three calculated parameters simultaneously These waveforms are displayed in easy to distinguish colors The color of a particular waveform will match the color of its corresponding Y axis at the left of the plot window The zero axis for each waveform within the plot window will also be indicated by a color coordinated dotted line matching the color of the corresponding waveform Right clicking the mouse in the graph area will display a dialog box Choose Set Up to access the Graph Set Up Dialog window This window allows the user to set up graphs for display along with a time scale and choice of color of the waveform See figure 8 for a display of the Graph Set up dialog window 14 PneuView Project Project _prj File Edit Data Trend Options Window Help el ol ele 10 el oleae Be
51. t of the top plate the less compliant or stiffer the lung The Airway The airway consists of a turret which houses the resistors used to create varying levels of airway resistance To change the resistance turn the outside ring counterclockwise Rotate the knob at the bottom of the assembly to the desired resistance of Rp5 Rp20 and Rp50 Tighten the outside ring by turning clockwise Please see Figure 1 for display of the 3600i Turret Assembly Figure 1 Model 3600i Turret Assembly The airway resistance exhibits parabolic characteristics in regards to pressure change as a function of flow This nonlinear parabolic characteristic is similar to that seen in standard endotracheal tubes Scales Compliance Scale The compliance scale is used to set a particular com pliance value for the lung This is done by positioning the compliance pointer of the compliance spring directly over one of the calibrated markings on the scale Volume Scale The volume scale may be used to measure the volume within the lung While this scale is calibrated for various lung compliance s it is recommended to use the Pneu View software because of the low resolution Oxygen Analyzer Port Oxygen concentration can be monitored in the lung through the oxygen analyzer port located on the back of the unit The 15 mm fitting is designed to accept most common oxygen analyzers When not is use the oxygen port is covered and sealed with the port co
52. the compliance settings shown in Table 1 and verify the pressure generated in the lung falls within accept able limits Compliance Setting Pressure Limits 10 9 7 to 10 3 05 19 4 to 20 6 01 97 0 to 103 0 Table 1 Calibration Values If the displayed pressures do not fall within the acceptable range for any given compliance setting repeat the insertion to verify that there has been no error in the technique If the values are still not within the specified ranges a mechanical adjustment and recalibration of the test lung may be required Contact Michigan Instruments for details Model 3600i Leak Test If you suspect an air leak in the test lung use the following procedure to locate the source of the leak 1 Set the compliance spring on the lung at 02 2 Enter the Calibration mode of the Pneu View program 3 Inject 1 0 liter of air into the lung through the airway and read the lung pressure 4 Hold the volume in the lung for 30 seconds and again read the lung pressure The pressure should not drop more than 1 0 cmH20 in 30 seconds If an unacceptable leak exists in your system and you are unable to locate the source please contact Michigan Instruments Service Department Warranty Agreement Your Model 3600i Single Lung Pneu View System is warranted by Michigan Instruments Inc Grand Rapids Michigan to be free of defects in material and workmanship for a period of two 2 years from the date of its receipt by th
53. ver Pressure Gauge The pressure gauge is located on the front of the 3600i The lung pressure and proximal pressure are measured with this gauge A toggle switch located to the left of the gauge controls which pressure is measured Auxiliary Pressure Ports To the left of the gauge is an auxiliary pressure port for measuring airway pressure with other pressure sensing or measuring equipment To the right of the gauge is an auxiliary pressure port for measuring lung pressure with other pressure sensing or measuring equipment These ports are equipped with a check valve and remain closed until the port is mated with a miniature quick connector These connectors are supplied with the 3600i 2 Setup and Operation Lung setup 1 Set the 3600i on a level surface 2 Remove the top cover of the carrying case by unlatching the four clasps on each side 3 Raise the volume plate scale by grasping the volume scale latch knobs on the bottom of the scale and pull them towards each other see arrows on volume plate Lift to upright position and release knobs The system is now ready for use without the computer interface gs Computer Interface Setup Connect one end of the DB9F serial cable supplied with unit into the personal computer Connect the other end into the serial port located on the left side of the 3600i 2 Attach the power jack into the 3600i located to the left of the serial port connection and plug the transformer into an a
54. y continuous flow and high pressure measurement values from the ventilation device This command is located under the Data menu on the New Project screen The following measurements can be acquired Proximal Pressure cmH2O Lung Pressure cmH20 External Pressure psig Flow Rate L min CAUTION The oxygen sensor port located on the back of the test lung MUST be left open to prevent overinflation of the lung bellows while measuring flow Resistance can also be selected Choose Rp 5 Rp 20 or Rp 50 for the appropriate flow rate listed as follows Rp5 140 240 L min Rp 20 60 139 L min Rp 50 14 59 L min See Figure 21 on page 26 for Direct Measure Display 25 PneuView x File Edit Data Trend Options Window Help Een PAR J ege Baseline PIESS MG PEP Peak Proximal Pressure Ppp Pip Vt Ym Average Inspiratory Flow Fia Peak Inspiratory Flow i Proximal Pressure cho cmH20 Lung Pressure C cmH20 Inspiratory Time Ti i Expiratory Ratio LE External Pressure jch2 f psig Breath Rate BR User Input ich3 voc Continuous Flow Resistor R5 m m j m fim m m m m A I i Graph Proximal pressure lung volume and fl Flew hate jo o0 f nn o R E FA 8 a T Ed f a SN 0101x Rp20 0 05 L cmH20 ATPX Communication paused Figure 21 Direct Measurement Window Direct Measurements can be inserted into the Notes window by using the Cut Copy and Paste functions Access
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