CAREvent® CA-G05 - O-Two Systems International, Inc.
Contents
1. NOTE An Automatic and Manually Triggered Resuscitator is considered a critical device and its components considered critical components Only those individuals trained in Cardio Pulmonary Resuscitation and the operation of oxygen powered ventilators should use this equipment Thoroughly review this instruction manual before use Indications For Use The CAREvent CA is pneumatically powered time volume cycled ventilators used to provide ventilatory support to normal adults in confined space rescue in IDLH Immediately Dangerous to Life and Health environment The ventilator is suitable for use in e Pulmonary resuscitation during respiratory and or cardiac arrest e Short term ventilatory support in the confined space rescue in IDLH Immedi ately Dangerous to Life and Health environment pre hospital Intra hospital inter hospital and air ambulance transport of non breathing patients Caution Federal law restricts this device to sale by or on the order of a physician 1 2 Warranty This equipment is manufactured from the finest quality materials Each individual part is subject to strict quality control tests to ensure exceptionally high standards The manufacturer warrants to the purchaser of the CAREvent CA G05 Handheld Resuscitator that its component parts are free from defects in material and workmanship for a period of two years from the date of purchase The manufacturer will replace and or repair all parts of the resusci2. CA G05 Handheld Resuscitator Accessories Vomits During Resuscitation 8 3 5 Demand Breathing and Automatic 17MP9039 Reusable patient valve swivel housing Circuit Shut Off 9 17MP1528 Reusable Patient Valve Diaphragm 01FG6500 Mask Retaining Insert 4 SERVICING 01FG6501 Mask Insert Extraction Tool 01FG6502 Head Harness System 4 1 Routine Maintenance 9 TMETBID single ee PREP Nave 4 2 Cleaning and Sterilization 10 5 CAREvent CA G05 ACCESSORIES 11 11 MANUFACTURERS AND DISTRIBUTORS OF CPR Bio Barrier Face Shields Universal Pocket Ventilators Rescue Breather CPR Protective Barriers Demand Valve Resuscitators Oxygen Demand amp BVM Oxygen Supply Refill Valves CAREvent Range of Automatic Transport Ventilators SQ Unibody Regulators SQP Aluminum Free Unibody Regulators EasyGrip Bag Valve Mask Resuscitators SMART BAG Bag Valve Mask Resuscitators SMART BAG MO Bag Valve Mask Resuscitators Burn Relief Burn Kits and Dressings Genesis II IDLH Rescue Resuscitators Equinox 50 Nitrous Oxide 50 Oxygen Administration Systems Your Representative is O TWO MEDICAL TECHNOLOGIES INC Innovation in Resuscitation C vio EUR 7575 Kimbel Street sso epresentative AI i Marcel Houben Mississauga Ontario i 13485 Rue Vin ve 32 Canada L5S 1C8 toss 4030 LIEGE Belgique Tel 905 677 9410 Fax 905 677 2035 Website www otwo com E mail resuscitation otwo com For your nearest Authorized O Two Distri
3. DEPRESSION POSITIVE PRESSURE BLEED FLOW DEMAND BREATHING FLOWRATE DEMAND BREATHING TRIGGERING PRESSURE Q 100 L Min INPUT PRESSURE MAXIMUM AIRWAY PRESSURE OPERATING TEMPERATURE STORAGE TEMPERATURE INPUT CONNECTION PATIENT CONNECTION WEIGHT SIZE CYLINDER DURATION 10 BPM 0 5 Litres V 0 5 litres 10 1 2 15 0 L Min 15 0 L Min 20 SECONDS 2 L Min 0 120 L Min 6cm H 0 45 70 PSI 3 1 4 8 Bar 60cm H 0 58 8 mBar 18 C to 50 C O F to 122 F 40 C to 60 C 40 F to 140 F 9 16 DISS 15 22 mm 16 OZ 0 45 Kg 140 x 63 x 73 MM 5 5 x 2 5 x 2 9lN 82 minutes Based on an Aluminum D size cylinder containing 415 Litres of oxygen NOTE For one person CPR and when using a head harness to secure the resuscitator to the patient the use of the manual override provides a 20 second delay to automatic cycling re start allowing for the provision of 30 chest compressions at the recommended rate of 100 compressions minute WARNING Automatic ventilation of the patient who is intubated or whose mask is held in place with the optional head harness System does not mean that the patient is safe to be left unattended and constant observation ofthe patient s pulse and chest movement must be continued WARNING The use of gas pressure regulators that do not maintain a minimum output pressure and flowrate in line with the requirements of the specification may cause th
4. manufacturer or an Authorised Dealer Unauthorised repairs will nullify the product warranty NOTE Units with test parameters outside of their ranges listed in the product specifications should not be used Any units not meeting performance criteria should be returned to the Manufacturer or an authorized repair centre 1 3 Features The CAREvent CA G05 Handheld Resuscitator is a pneumatically powered time volume cycled ventilatory resuscitator with the added feature of a Manually Actuated Automatic Ventilation Override Button Manual Button to allow the operator to control the ventilations manually at a rate and volume they desire The ventilator allows the breathing patient to Demand Breathe on 100 oxygen while their inspiratory efforts causes the automatic cycling to cease Should they stop breathing the ventilator will automatically restart cycling in the setting selected A 2 Litre per minute constant BLEED FLOW is provided to ensure a positive pressure remains in the mask throughout the ventilation cycle to decrease the risk of entraining potential toxic atmospheric air into the mask The pneumatic logic circuit can be run on either approved compressed breathing air or medical oxygen The unit is self contained and only requires its attachment to a regulated oxygen or air supply as specified for immediate use The CAREvent CA G05 Handheld Resuscitator Delivers 100 oxygen during resuscitation when attached to an O
5. 3 3 NOTE If no respiratory effort is observed position yourself above the patient s head Turn on the gas supply Allow the device to cycle once and then apply the face mask over the patients mouth and nose The thumb and index fingers are used to hold the mask to the face while the remaining three fingers of each hand are placed along the angle of the jaw Atilt action is used to hyperextend the neck and move the jaw forward This helps displace the tongue away from the back of the throat and maintains an open airway If manual Ventilation is to be used depress the manual button and observe the rise of the patient s chest Release the button when chest rise is adequate If the patient s chest does not rise or gas escapes around the mask or the pressure relief system c operates fig 3 reposition the patients head and adjust your hand position to obtain an effective mask seal and an open airway Monitor the patient s skin nailbed and lip colour If mask indicates signs of vomitus remove immediately and clear the airway Ensure the mask and valve are free from obstruction Restart ventilation immediately after clearing airway See also 2 4 Continue ventilation at an appropriate rate until relieved or until spontaneous breathing returns Automatic Ventilation If you are commencing automatic ventilation immediately follow steps 1 2 and 4 7 above Closely observe the patient s chest movements If there is any leak from
6. SHER IS USED EVERY TIME YOU ATTACH THE REGULATOR TO THE CYLINDER 8 IT IS RECOMMENDED THAT AN ALTERNATIVE MEANS OF VENTILATING THE PATIENT BE AVAILABLE IN CASE OF GAS SUPPLY FAILURE CHAPTER 2 PRE USE FUNCTIONAL CHECKS 2 1 Set Up Along with the contents of the shipping cartons you will require the following items to enable you to undertake the pre use functional check 1 Full oxygen cylinder 2 Oxygen regulator with a 50 psi 9 16 DISS outlet The regulator must be able to output a minimum of 120LPM at no less than 45 PSIG 3 1 Bar 3 Calibrated Test Lung supplied with ventilator Having connected the supply hose to the regulator ensure that the Setting Selector is in the OFF position and turn on the oxygen supply Using a mild soap solution spray the input connection to the resuscitator to check for leaks If any leak is present tighten the connection and re test Once no leaks are found connect the Test Lung to the 15 22mm patient connector on the resuscitator Using the Sliding Setting Selector select the first automatic setting 2 2 Testing of the Individual Features of the Ventilator The following features can be individually tested during the pre use Functional Check 1 Maximum Airway Pressure and Audible Alarm 2 Frequency Tidal Volume Adjustment 3 Manual Ventilation 4 Demand Valve Function and Automatic Circuit Shut Off 5 Bleed Flow CHAPTER 3 OPERATING PROCEDURE 3 1 Connecting the Supp
7. USCITATOR MUST BE THOROUGHLY CLEANED AFTER TABLE OF CONTENTS EACH PATIENT USE CHAPTER TITLE PAGE 1 Operate CAREvent CA G05 Handheld Resuscitator to blow out any contaminant from the patient valve 1 THE CAREvent CA G05 HANDHELD AUTOMATIC AND 2 Ensure CAREvent CA G05 Handheld Resuscitator is disconnected MANUALLY TRIGGERED RESUSCITATOR from the gas supply source 3 Remove the patient valve swivel housing a from the body of the resuscitator m Diis d i 1 2 Warranty Information 1 c being careful to ensure that the diaphram b is retained fig 3 13 The CAREvent CA G05 Features 2 4 Remove the facemask from the resuscitator after removing the mask 1 4 Performance Specifications 3 retaining insert if supplied using the extraction tool 1 5 Safety Precautions 4 5 Shake out any foreign material 2 PRE USE FUNCTIONAL CHECKS 6 Wash all components thoroughly in a mild soap solution and disinfect as required 2 1 Set Up 5 5 The resuscitator can be wiped over with a soft cloth and mild soap solution es bonu d ee peace 5 8 Dry all components thoroughly 3 OPERATING PROCEDURE 9 Reassemble unit connect to an air or oxygen supply to check operation prior to packaging for emergency use 3 1 Connecting the Supply Hose and NR Patient Circuit 6 NOTE dis ese mar combination is being used safely 3 2 Manual Ventilation and Cardiac i Compressions 6 CHAPTER 5 3 3 Automatic Ventilation 7 3 4 Action to be Taken if Patient CAREvent
8. around the mask or any obstruction in the patients airway blow off valve will operate reposition patients head and adjust mask and hand position to ensure a good airway and mask to face seal If the patient is intubated or if the patient is to be intubated following mask ventilation remove the face mask from the 22mm connector and attach the device onto the 15mm En dotracheal tube connector 1 5 Safety Precautions The CAREvent CA G05 Handheld Resuscitator is designed to provide emergency ventilatory support to patients suffering from respiratory and or cardiac arrest The CAREvent CA G05 Handheld Resuscitator is intended for use by suitably trained and qualified personnel The following precautions should always be observed 1 WHEN NOT IN USE ALWAYS TURN OFF THE CYLINDER 2 NEVER ALLOW OIL OR GREASE TO COME INTO CONTACT WITH ANY PART OF THE CYLINDER REGULATOR OR RESUSCITATOR 3 DO NOT DISASSEMBLE ANY PART OF THE RESUSCITATOR EXCEPT WHERE DESCRIBED IN THIS MANUAL AS ANY UNAUTHORIZED DISASSEMBLY WILL INVALIDATE THE WARRANTY 4 AFTER USE ALWAYS ENSURE THAT ALL COMPONENTS ARE CLEANED IN ACCORDANCE WITH THE INSTRUCTIONS PROVIDED IN THIS MANUAL 5 ENSURE THAT ALL COMPONENTS ARE REASSEMBLED CORRECTLY AND THAT ALL ITEMS ARE REPLACED IN THE CARRYING CASE 6 AFTER USE ALWAYS ENSURE THAT A FULL AIR OR OXYGEN CYLINDER IS ATTACHED BEFORE RETURNING THE UNIT TO ITS NORMAL STORAGE POSITION T ENSURE THAT A NEW SEALING WA
9. butor In North America Toll Free 1 800 387 3405 O Two i MEDICAL TECHNOLOGIES INC Innovation in Resuscitation CAREvent CA G05 CHEMICAL AGENT ENVIRONMENT AUTOMATIC AND MANUALLY TRIGGERED RESUSCITATOR USER MANUAL Made in Canada by O Two Medical Technologies Inc Part Number 15PL2151 Rev E June 2007
10. e device to fail resulting in the patient not being ventilated 3 4 Action to be taken if patient vomits during resuscitation Should the patient vomit into the mask during resuscitation the following steps should be followed to clear the foreign material 1 Remove the mask from the patient s face and clear any foreign material from the patients airway Depress the manual button or allow the resuscitator to cycle automatically for a few breaths to clear the mask and valve of foreign material 2 If depressing the manual button repeatedly or automatically cycling the resuscitator does not clear the foreign material from the patient valve turn the selector to the OFF position remove the facemask and unscrew patient valve swivel housing e from the resuscitator body being careful to ensure that the diaphragm is retained Fig 3 3 Shake out any foreign material from the resuscitator diaphragm face mask and patient valve swivel housing 4 Reassemble the facemask patient valve and diaphragm and attach to the resuscitator NOTE When using the single use patient valve vomitus may be forced past the diaphragm and contaminate the bio filter This may necessitate the use of a new single use valve 3 5 Demand Breathing and Automatic Circuit Shut Off Should the patient commence spotaneous breathing at a flowrate of greater than 30 Ipm for more than 1 second the CAREvent CA G05 will sense the patient s inspiratory effort and will stop c
11. ly Hose The supply hose provided is attached to the oxygen inlet on the rear of the resuscitator and is tightened finger tight fig 1 WARNING The use of excessive force in tightening the supply hose may damage the seal and or thread The facemask is attached to the patient connection port by simply pushing the mask onto the 22mm taper m Button Attach supply hose here Connecting the supply hose fig 1 3 2 Manual Ventilation and Cardiac Compressions The CAREvent CA G05 Handheld Resuscitator has a Manually Actuated Automatic Ventilation Override Button Manual Button with a 20 second delay to automatic cycling re start to assist in the timing of ventilations in conjunction with external cardiac compressions By using the Manual Button the operation of the ventilator can be easily timed with the chest compressions so as to avoid the potential problem of the aspiration of stomach contents due to gastric distension which may occur if overlap of chest compression and inflation occurs It has been shown in some studies that in patients that are intubated this overlap of compression and inflation may increase cardiac output without the danger of gastric distension The flowrate provided is equivalent to the preset automatic flowrate 1 4 Performance Specifications TIDAL VOLUME BREATHS PER MINUTE I E RATIO AUTOMATIC FLOW RATE MANUAL FLOW RATE DELAY TO AUTOMATIC CYCLING RE START AFTER MANUAL BUTTON
12. tator at its option for two years from the date of purchase at no costto the purchaser upon the notification of the defects in writing by the purchaser All shipping costs shall be borne by the purchaser The manufacturer shall be liable under this warranty only if the resuscitator and its parts have been used and serviced in the normal manner described in the instruction manual There are no other expressed or implied warranties This warranty gives no specific legal rights You may also have other rights that may vary according to local regulations 1 4 2 Cleaning the CAREvent CA G05 Handheld Resuscitator and Accessories Routine cleaning of the equipment should be undertaken to maintain the equipment in a clean condition Reusable patient valve swivel housing and diaphram can be cleaned using a mild soap solution and disinfected using a legally marketed commercially available disinfectant suitable for the application Single use patient valves and masks should be discarded after each patient use and replaced with a new unit All other components should be wiped clean with a mild soap solution Under no circumstances should the complete unit be allowed to be soaked or immersed in cleaning solutions Nn c Pressure Relief f System a Resuscitator N 5 Body F d Manual Button b Gas Supply Inlet f Swivel Housing E e Patient Valve nM f Facemask Disassembly of the resuscitator fig 3 10 THE RES
13. xygen source Meets the ERC and American Heart Association Guidelines 2005 G05 recommendations for C P R Provides physiologically normal adult respiratory rate and volume Has an Audible Airway Pressure Limiting System Is lightweight and extremely durable Is designed for emergency resuscitation in potentially toxic atmospheres Has a Manually Actuated Automatic Ventilation Override Button Manual Button with a 20 second delay to re start of automatic cycling to allow the provision of 30 chest compressions Complies with the requirements of the ERC and AHA Guidelines 2005 G05 for the provision of a 30 2 compression ventilation ratio Has a preset automatic setting compatible with a range of adult patients with a tidal volume and frequency of ventilation in line with established guidelines a Provides Demand Breathing with automatic cycling shut off and re start Has a 2 L min Bleed Flow to reduce the risk of air entrainment due to mask leakage CHAPTER 1 1 1 Introduction The CAREvent CA G05 Handheld Resuscitator provides trained individuals with a safe and effective means of providing artificial ventilation during respiratory and or cardiac arrest The CAREvent CA G05 Handheld Resuscitator is lightweight portable and extremely durable Designed for the demands of the emergency medical and rescue environment where toxic gas may be present they can be operated anywhere a medical oxygen breathing air supply is present
14. ycling automatically allowing the patient to De mand Breathe at their own rate and volume on 10096 oxygen if connected to an oxygen supply If they cease spontaneous breathing the ventilator will recommense automatic cycling after a delay of 5 8 seconds depending on the depth of the patients previous respiration without intervention by the rescuer CHAPTER 4 SERVICING 4 1 Routine Maintenance WARNING The CAREvent CA G05 Handheld Resuscitator is designed to provide respiratory support in emergency situations Failure to follow the maintenance and inspection routines properly could result in incorrect operation of the resuscitator To ensure proper operation of the resuscitator regular inspection and checking of the resuscitator and accessories for correct function should be undertaken by a responsible member of staff on a routine basis This check is to ensure that all of the accessories and resuscitator components are present the air or oxygen cylinder is full and that the resuscitator is in working order Regulator working pressure suction if equipped and ventilator limiting pressures should be checked at least every six months and more frequently in high use applications Units with test pressures outside of the ranges listed in the product specifications should notbe used The product is not designed for field disassembly or service outside that indicated in this manual Any malfunctioning units should be returned to the
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