Home

User`s Manual - IngMar Medical

1. Results E RespiTrainer Options al RTI RT2 Data Trend Result Test vt Average mL 554 Above Threshold 12 Below Threshold 0 Ppeak Average cmH20 13 0 Above Threshold 0 Stacking Breaths Rate Average bpm 11 4 Above Threshold 0 Below Threshold 0 MV Average L 6 31 Above Threshold 0 Below Threshold 0 Total Number of Breaths 114 Figure 4 11 In the Result page Figure 4 11 averages and threshold violations for the parameters tidal volume peak pressure breath rate and minute ventilation are used to summarize the results of a timed test as well as of untimed data collection In addition the total number of breaths evaluated is also indicated 31 32 Operation Use of the Software Tests E RespiTrainer ET Options pal RTI RT2 Data Trend Result Test vt Average mL 554 Above Threshold 12 Below Threshold 0 Ppeak Average cmH20 13 0 Above Threshold 0 Stacking Breaths Rate Average bpm 11 4 Above Threshold 0 Below Threshold 0 MV Average L 6 31 Above Threshold 0 Below Threshold 0 Total Number of Breaths 114 a zu a Figure 4 12 The Tests page Figure 4 12 allows the user to setup launch and stop a test File names for data file recordings can be assigned in the Name field Timed tests can conveniently be launched from this page and a countdown timer will show the remaining test duration once a timed test is in progress The Patient Test Dur
2. 33 4222 A deer 33 42237 Data Displays 34 42 4 Saving DAA tea elie tected 35 42 5 Performing Tis di pins 35 4 3 Advanced Airway Interfaces sss 36 4 3 1 Simulation of a Patient Intubation 36 4 3 2 Placing a Laryngeal Mask sss 36 4 4 OPptONS tei tenus 37 4 4 1 RespiTrainer Infant esse 17 4 4 2 Videoscope Stylet 37 4 5 Shut Down and Storage 37 4 6 Installing Updating Software on the PC 38 4 7 Pairing the RespiTrainer Base With Your PC ite eet eet ted 39 Care ess Main Aste metet eo deste 40 5 1 Gleaningzcsd ent metere EE 40 5 2 Maintenance ede iso 41 Principle of Operation RespiTrainer Advance 42 6 1 Data Sampling and Exchange With The BG aste detecte cad 42 6 2 Parameter Definitions ss ssseeeennnnnnzenazzzzznna 43 Troubleshooting FAQs 44 Technical Data ito iia 45 8 1 QuickLung Specifications eena 45 8 2 RespiTrainer Advance Specifications 45 Ordering Information seren ennznznzennnnn nn mnn nn 47 PLOZ PIT e2ipew JEWBUI 77 L MS e2ueApy J9UIEJLIdSOX jenuey Sat Y LOZ PHT eoipew JEWBUI O ZL MS e2ueApy 1u idses enuey sasn 10 10 Introduction Operator Safety Definitions 1 Introduction 1 1 Operator Safety For correct and effective use of the product it is mandatory to read and to observe all instructions WARNINGS and CAUTION
3. statements in this manual If the product is not used as instructed the safety protection provided may be impaired 1 2 Definitions 1 2 1 Warnings and Caution Statements WARNING Indicates a potentially harmful condition that can lead to personal injury CAUTION Indicates a condition that may lead to equipment damage or malfunction NOTE Indicates points of particular interest or emphasis for more efficient or convenient operation 1 2 2 Nomenclature Throughout this manual and in the software the word patient is used occasionally to describe a simulated patient as defined by the lung model settings This will correspond to the use of patient in respiratory mechanics patient monitoring in that the lung model is a representation of a patient receiving ventilatory assistance PLOT PIT e2ipew JEWBUI z L MS e2ueApy J9UIEJLIdSOX enuey Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Introduction Typing Conventions Definitions of breath parameters as they are calculated in the RespiTrainer Software can be found under Parameter Definitions page 43 1 3 Typing Conventions For easy recognition within a sentence file names are typed in italic font e g mobile devicelprogram files RespiTrainer Respi exe Buttons and controls in the software user interface are designated with lt e g Start Items on the page selection bar on the bottom of the PC
4. Advance Specifications 9 Ordering Information Description Part No RespiTrainer amp Advance standard 15 30 600 QuickLung 15 00 100 10 Netbook Control Module 26 00 500 RespiTrainer amp Advance Intubation 15 30 740 Package ETView Intubation Video Assistant 15 30 790 ETView ET Tube ADULT Camera 15 30 901 ETView Monitor 15 30 903 RespiTrainer amp INFANT Intubation 15 30 500 Trainer 10 Netbook Control Module 26 00 500 RespiTrainer amp INFANT Intubation Pkg 15 30 730 ETView ET Tube INFANT Camera 15 30 493 47 46 Index Index B A ete ete ee 18 24 A ati ette ets 24 C CAUTION Lt nine ee eet See 10 41 Certifications sec ecco teer peret bae iT 13 certification test orte ads 13 Cleaning s emeret p tds 40 Contents saumon givens de ON ETUR EORR ae 8 Copyright iecore itte Ue pr ee etie tet 4 D Definitions Nomenclature ccccccnnnnnnnnnonnnoncnononononnnnnnnnannnonos 10 Parameter i t rede ie tvs eerte a ees 43 E EMS Tra Un TEE 12 Explosign Hazard s ries 41 F DEE A4 G Guidelines ventilation ocooconconononoccnccnnononnnnnnnn 14 PLOT PIT Je2ipew JEWBUI O ZL MS 9urej idsas enuey sasn User s Manual RespiTrainer SW 1 2 IngMar Medical Ltd 2014 H Head Neonatal eege 22 l Information legal sucia rst 3 Instruction ClassroOIm za sie o id in 14 Intended KEE 12 lt lee WEE 36 L laryngeal Mask estre erga 36 Leak ES ient tie reote Age OT eth oc Ad ed 44
5. For a period of thirty 30 days following the date of delivery to you as the original licensee if evidenced by your receipt as such the Warranty Period IngMar warrants the media on which the Software is embodied to be free from defects in materials and workmanship under normal use The warranty is personal to you and no warranty is made to your transferees THE FOREGOING WARRANTIES ARE THE SOLE WARRANTIES ON THE MEDIA AND ARE IN LEIU OF ALL OF WARRANTIES OF ANY KIND SUCH AS WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE 2 NO WARRANTY ON SOFTWARE OR DOCUMENTATION INGMAR LICENSES THE SOFTWARE AND DOCUMENTATION SOLELY ON AN AS IS BASIS WITHOUT WARRANTIES OF ANY KIND SUCH AS WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE THE ENTIRE RISK OF QUALITY AND PERFORMANCE IS WITH YOU IF EITHER THE SOFTWARE DOCUMENTATION OR BOTH PROVE TO BE DEFECTIVE YOU ASSUME THE ENTIRE COST OF ALL SERVICING CORRECTION OR REPAIR REMEDY FOR DEFECTIVE MEDIA Your sole and exclusive remedy in the event of a defect in a warranted item is expressly limited to replacement of the defective media To receive a replacement media you must send the defective media with proof of purchase to IngMar at the address indicated below postage pre paid and postmarked within the Warranty Period IN NO EVENT SHALL INGMAR BE LIABLE FOR ANY OTHER OBLIGATIONS OR LIABILITIES INCLUDING WITHOUT LIMITATION LIABILITY FOR DAMAGES WHETHER GEN
6. Legale ee da et a 3 Liability limitation Of LL 4 M M int nange P 41 Minute Ventilatii uta ad 28 N Neonatal Setting tisse e P Ie Ede eit 22 O Operation principle Of LL 42 Option tabs eod eb is 33 OPTIONS xttl etie e 37 OTI 33 OVEIVIEW Es Ginn Bue esi aa Eu 15 Index 47 48 Index P Patient iui Users 12 Q Te RTE 43 Quick Reference venera 16 Quicklung ss eire ut 12 R Results PASE cec tte eene teo Dre eie 31 Kl SCHER eee ehe te i tie 28 EE BEE 28 S Safety Oper sco dt e a o dies 10 Shut DOWN shine deed gea 37 Software Installing iier Re t dg s 38 Updating e ttti tette tenes 38 Software License Agreement se enenenenennnzi 5 Specifications ASL 5000 AER RS 45 46 QuickList 46 Standard deviation sss 43 Stomach insufflation eese 42 StOLage wei ites ect eet e 37 PLOT PIT Je2ipew sewsu O ZL MS eurej idsas jenuew sasn User s Manual RespiTrainer SW 1 2 IngMar Medical Ltd 2014 T Technical data coccccnnnoninoooncnnnnononnnnnnnnanonononanonononns 45 Tests Performing conten Dime ete Peces 32 Setup che it bis tara ta ul Rec 33 TAME a See 33 Tests Page nent Dr 32 Thresholds m sometimes tennis 43 Time DE 32 Trademarks esses eene 4 Training EE 13 Trends a Ta ANR E RB 30 Troubleshooting ee etes 44 Tube endotracheal sse nnnsnnnenzznennnnznznzzn 36 Typing Conventions cooccconnoccconnnnnonanonanananananccnna can
7. Software or Documentation only as set forth in your purchase agreement for the RespiTrainer product 2 You may not alter assign decompile disassemble distribute lease modify reverse engineer sublicense transfer or translate in anyway the Software or Documentation except as provided in the following clause You may permanently and simultaneously transfer all of the Software Documentation and the License if a you deliver to the transferee the Software and Documentation including updates and upgrades supplied by this Agreement b notify IngMar in writing of such transfer and c destroy any archival backup copy A transfer immediately terminates the License You agree that the transferee must expressly accept all terms and conditions of this Agreement 3 YOU MAY NOT COPY THE SOFTWARE OR DOCUMENTATION provided however that you may make one 1 copy of the Software for archival backup purposes 4 If either the Software or Documentation is used in any way not expressly and specifically permitted by this License then the License shall immediately terminate Upon the termination of the License you shall thereafter make no further use of the Software or Documentation and you shall return to IngMar all licensed materials to IngMar postage prepaid 5 ANY SOFTWARE PROVIDED BY INGMAR MEDICAL IS NOT INTENDED TO BE USED FOR ACTUAL ANALYSIS AND DIAGNOSIS OF MEDICAL CONDITIONS OF HUMANS OR ANIMALS WARRANTIES 1 LIMITED WARRANTY ON MEDIA
8. THESE TERMS AND CONDITIONS ENTIRE AGREEMENT YOU ACKNOWLEDGE THAT YOU HAVE READ THIS AGREEMENT AND UNDERSTAND THIS AGREEMENT THE AGREEMENT IS THE FINAL COMPLETE AND EXCLUSIVE STATEMENT OF THE ENTIRE AGREEMENT BETWEEN INGMAR MEDICAL LTD INGMAR AND YOU THIS AGREEMENT SUPERSEDES ANY PRIOR AND CONTEMPORANEOUS PROPOSALS PURCHASE ORDERS ADVERTISEMENTS AND ALL OTHER COMMUNICATIONS IN RELATION TO THE SUBJECT MATTER OF THIS AGREEMENT WHETHER ORAL OR WRITTEN NO TERMS OR CONDITIONS OTHER THAN THOSE CONTAINED IN THIS AGREEMENT AND NO OTHER UNDERSTANDING OR AGREEMENT WHICH IN ANY WAY MODIFIES THESE TERMS AND CONDITIONS SHALL BE BINDING UPON INGMAR UNLESS MADE BY A WRITTEN AGREEMENT EXECUTED BY DULY AUTHORIZED REPRESENTATIVES OF BOTH INGMAR AND YOU SOFTWARE AND DOCUMENTATION LICENSE 1 IngMar hereby grants you a non exclusive non transferable license to use the enclosed data acquisition and instrumentation software for the IngMar Medical RespiTrainer the Software and any associated printed documentation the Documentation subject to the limitations set forth in this Agreement the License You may use the Software only on one central processing unit Pocket PC or personal commputer with one input terminal at any time All right title and interest to the Software and the Documentation are and shall remain in IngMar You have no right of access to the source code of the Software You are entitled to updates or upgrades of the
9. Test page that you can select how to save a data file for further use as a reference or to document a student s progress The user simply has to provide a data file name which the software will then automatically increment for multiple tests if so desired Alternatively each test may be given a different name manually Saving of data is selected by the Save check box on the Test setup page Data may be saved for timed tests as well as for untimed data collections The duration of a test is chosen from a drop down menu as 1 2 5 10 20 or 30 minutes Additionally the number of breaths for averaging Minute Ventilation may be selected as 1 2 5 or 10 breaths 33 34 Operation Use of the Software If a customized patient model is desired you can also access the Customize Patient page from the Test page The initial parameters showing are those from the last time a customized patient model was used and may be simply accepted or modified 4 2 3 Data Display Three different views of data are available as it is being collected The two screen pages RT1 and RT2 offer updated data in real time The first screen considered the main or default view shows updates of the parameters pressure tidal volume and breath rate numerically in addition to colored bar graph representations of the filling of the lungs and Minute Ventilation On these a green target zone represents the parameter values within the set thresholds whereas a red
10. a valve to the stomach bag opens The primary upper pressure threshold user adjustable triggers the counting of high pressure events and the display of the respective Stomach insufflation message By default its setting is also 20 cmH20 PLOZ pi eoipew JEWBUI ZL MS eoueApy 1aulel idsoy jenuey sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Principle of Operation RespiTrainer Advance Parameter Definitions A low pressure threshold serves the purpose of identifying the stacking of breaths If pressure does not drop below this threshold a full exhalation was not possible and this event is also recorded There is however no screen message associated with this event Tidal volume thresholds are present for high and low Vt The same is true for minute ventilation Its thresholds correspond to the limits of the green zone of the MV bar graph 6 2 Parameter Definitions Vi Tidal volume is calculated from lung pressures as P peak Pmin Compliance Ppeak Peak pressure is the highest value of pressure during a breath BR Breath rate is determined as the quotient of 60 s and the momentary value of breath cycle time inspiration expiration MV Minute ventilation is calculated as the prorated average tidal volume per minute from a sample of 1 2 or 3 breaths user adjustable Averages and standard deviations The assumption is made that the parameters are approximately normally distribute
11. and purple zone indicate over or under performance respectively On the RT2 screen all four parameters P Vt Rate MV are also continuously updated in real time and are shown together with their set thresholds The third view option Data shows parameters grouped by type on two separate screens one for flow related parameters and the target of Minute Ventilation MV as well as pressure limit and a second one for pressure and timing related parameters The Results screen is particularly helpful when performing timed tests In this view the parameters collected from a test run are characterized by their mean as well as showing the number of threshold violations This screen also indicates the total number of breaths performed in a test PLOZ PIT Jeolpa JEWBUI ZL MS e2ueApy J9UIEJLIdSOX enue sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Use of the Software 4 2 4 Saving Data Saving of data is initiated from the Test Setup page see Test Setup on page 33 Data is then written to the file specified there in a tab delimited ASCII file suitable for further analysis via a spreadsheet program such as Excel or similar The file location is always Documents Tests in Win7 or My Documents RespiTrainer Tests in WinXP may also be transferred to a PC and analyzed there 4 2 5 Performing a Test After initial setup has been made and the software has been launched on th
12. can be set to Low White leak cap engaged only Medium Red leak cap engaged only and High white and red leak caps engaged See 3 in below image e For operation with a PC at startup the software option Patient Parameters needs to be set to Neonate for a 2 bellow system and to Custom for a 4 bellow system Neonatal Bellow 1 Engage Disengage Bellows 2 Engage Disengage Bellows 3 Engage Disengage Leak options Figure 4 5 PLOT pi e2ipew JEWBUI ZL MS e2ueApy 1u 1dses jenuey Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Setup for RespiTrainer Advance 125 11 22 Figure 4 6 The RespiTrainer is normally paired to an individual netbook or PC prior to shipment from IngMar Medical Ltd In some instances for example the RespiTrainer is sent back to IngMar Medical Ltd for repair without the netbook or PC If this occurs the end user may have to update the Bluetooth pairing with the repaired product The instructions below describe the procedure for pairing to a RespiTrainer 1 Turn on the netbook and make sure the Bluetooth adapter is inserted into the computer 2 Right click on the Bluetooth icon in the system tray typically bottom right corner of the screen and select Bluetooth Settings 3 When the Bluetooth settings window opens the originally 23 24 Operation Setup for RespiTrainer Advance paired Respi
13. D OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY FITNESS FOR ANY PARTICULAR PURPOSE OR NONINFRINGEMENT IngMar Medical Ltd shall not be liable for nor shall buyer be entitled to recover any special incidental or consequential damages or for any liability incurred by buyer to any third party in any way arising out of or relating to the goods Trademarks RespiTrainer RespiTrainer Advance and NeoLung are trademarks of IngMar Medical Ltd QuickLung is a registered trademark of IngMar Medical Ltd Windows and MS DOS are registered trademarks of Microsoft Corporation LabVIEW is a trademark of National Instruments Corporation Bluetooth is a trademark of the Bluetooth SIG Inc USA All other trademarks or registered trademarks are property of their respective owners Copyright 2014 IngMar Medical Ltd This document may not be reproduced stored in a retrieval system translated transcribed or transmitted in any form or by any means without prior explicit written permission from IngMar Medical Ltd PLOT PIT Jeolpa JEWBUI ZL MS e2ueApy J9UIEJLIdSOX jenuey Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Software License Agreement See also software envelope LICENSE AGREEMENT DO NOT BREAK THE SEAL UNTIL YOU CAREFULLY READ THE FOLLOWING TERMS AND CONDITIONS OPENING THIS PACKAGE INDICATES THAT YOU AS THE SINGLE END USER ACCEPT
14. ERAL OR SPECIAL DIRECT OR INDIRECT CONSEQUENTIAL INCIDENTAL EXEMPLARY OR FOR ANY CLAIM FOR THE LOSS OF PROFITS BUSINESS OR INFORMATION OR DAMAGE TO GOOD WILL EVEN IF INGMAR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES IN ANY EVENT INGMAR S MAXIMUM LIABILITY SHALL BE LIMITED TO THE AMOUNT OF THE PURCHASE PRICE U S GOVERNMENT RESTRICTED RIGHTS LEGEND The Software and Documentation have been developed exclusively at private expense and are provided with RESTRICTED RIGHTS Use duplication or disclosure by the Government is subject to restrictions as set forth in subparagraph c of the Rights in Technical Data and Computer Software clause at DFARS 252 227 7013 or subparagraphs c 1 and 2 of the Commercial Computer Software Restricted Rights at 48 CFR 52 227 19 as applicable IngMar is the Contractor and is located at 4719 Liberty Ave Suite 2 Pittsburgh PA 15224 EXPORT RESTRICTIONS The program or underlying information or technology may not be installed or otherwise exported or re exported where prohibited by law MISCELLANEOUS This Agreement shall be considered severable and if for any reason any term or condition is determined to be invalid illegal or unenforceable under current or future law such invalidity shall not impair the operation of or otherwise effect the valid terms and conditions of this Agreement so long as the intent of this Agreement is maintained This Agreement shall be governed by construed a
15. Trainer may be visible Respi295 for example Highlight the existing paired device and click on the Delete button Select Yes when the window explains that the pairing will no longer be used Boe tevetbe undt engl JI 7 ji ul cy rt Le te mac N viua eis aat 0 dl t we 4 Once the Bluetooth Settings window is clear turn on the RespiTrainer On the Bluetooth Settings window click New Connection 5 The next window will prompt the user to use Express Mode or Custom Mode to configure the Bluetooth device Select Custom Mode Click Next and the computer will search for Bluetooth devices NOTE Custom Mode must be used to assure proper connectivity to the RespiTrainer The COM port must be set to COM8 Th s mur ma cae oe artis ln Phantom desit cometi Presse araw sms mc dens we on ae salt e teen Bint Fe ae tren nten the sen zen ar sat are marin Wa eng reg aree hy C bores Mose Finn LI Tie show yos sa tal Ue correo PLOZ pi e2ipew szewsu ZL MS e2ueApy J8ure1 1dses jenuey sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Setup for RespiTrainer Advance 6 When the search is complete and the RespiTrainer is ON a Respixxx should be visible xxx the serial number of the unit Select the Respixxx device and click Next Make sure the next window says SPP and click Next again Magie chow Te isnt Eens rt mall mule Missa d e Dev
16. User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 E Ge MEDICAL QuickLung RESPITRAINER NS Advance Manual Ventilation Task Trainer USER S MANUAL Software 1 2 2nd edition 2014 O IngMar Medical Ltd User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 This page intentionally left blank User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Legal Information Product Warranty Educational tools and test instruments manufactured or distributed by IngMar Medical Ltd are fully warranted covering materials and workmanship for a period of one year from the date of shipment except for products with stated warranties other than one year IngMar Medical reserves the right to perform warranty service s at its factory at an authorized repair station or at the customer s installation IngMar Medical s obligations under this warranty are limited to repairs or at IngMar Medical s option replacement of any defective parts of our equipment except fuses and batteries without charge if said defects occur during normal service Claims for damages during shipment must be filed promptly with the transportation company All correspondence concerning the equipment must specify both the model name and number and the serial number as it appears on the equipment Improper use mishandling tampering with or operation of the equipment wit
17. ad For cleaning the head use mild detergent to remove stains and visible dirt Disinfect face as necessary with isopropyl alcohol NOTE It is not possible to remove the face from the head Base surfaces plastic Wipe with damp cleaning rag and a mild detergent Circuits Bath disinfect as needed using a disinfecting agent compatible with silicone circuits Battery NiMH batteries will be losing their charge if not used for extended periods of time It is therefore recommended to charge the RespiTrainer Advance battery occasionally approximately once a month Alternatively if the system is used regularly keeping the charger plugged in and connected to line power will not negatively affect the life of the battery Only a trickle charge will be performed to keep the battery topped off PLOT pi e2ipew JEWBUI ZL MS e2ueApy J9UIEJLIdSOX jenuey Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Care Maintenance 5 2 Maintenance Both the RespiTrainer Advance RespiTrainer Base and the QuickLung are designed to be maintenance free WARNING Only replace with original 1650 mAh NiMh battery pack IngMar Medical part no 15 30 007 Using other than the specified battery pack may cause a fire hazard Do not place into a fire Explosion hazard CAUTION Follow all Federal State and local environmental regulations when disposing of batteries 41 42 Principle of Operatio
18. and appropriate during resuscitation even when performed by seasoned staff Another point is the manual ventilation of children or infants where it is of even more importance to not exceed the volume or pressure limits PLOT PIT IP2IPOW JEWBUI ZL MS eoueApy JeureJ 1dses enue sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Intended Use Applications It is therefore mandatory to always follow approved guidelines and procedures for basic life support and manual ventilation IngMar Medical Ltd does not recommend any specific certification test for manual ventilation performed by medical staff and no portion of these instructions shall be construed as doing so 2 1 Applications 2 1 1 Training and Certification of Medical Personnel Paramedic EMT nurse respiratory therapist physician A primary application of the RespiTrainer Advance is the training of medical staff in the specialty of respiratory care While not eliminating the need for learning from contact with real human patients and related special challenges IngMar Medical s RespiTrainer Advance assists in delivering a number of teaching points critical to the proper performance of manual ventilation e Placing the head of an unconscious person into the sniffing po sition to open the airway e C grip technique Utilizing the TruCorp RespiTrainer Advance airway management training head the RespiTrainer Advance al lows
19. ation and MV Sample selection boxes will adjust the respective settings PLOT pi e2ipew JEWBUI ZL MS eoueApy J8ure1 1dses enuey Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Use of the Software 4 2 1 Application notes for software general Data acquisition may be started from different points in the software Most prominently this can be done after launching the software from the RT1 screen Besides this screen data acquisition may be initiated from the Test page and from the lt Options gt menu You may also tap on the clock symbol next to lt Options gt at the top of the window in the PC software to start and tap the same key which had changed to a hand symbol to stop The selection between a timed test and free data collection is made under the lt Options gt menu timed test indicated by checkmark When launching data collection from the Test page it will always start a timed test of the duration selected Start timed test and sets the checkmark on timed test in lt Options gt When starting data collection from either the task bar toggle key from the RT1 page or from Start Data under lt Options gt the type of test performed timed or free depends on the checkmark in lt Options gt 4 2 2 Test Setup Timed tests are essential to the intended use of the RespiTrainer Advance as a feedback tool for a student practicing manual ventilation It is on the
20. bletop charger Input 100 240 V AC 50 60 Hz Output 12 V DC 2 A regulated 7 2 V 1600 mAh NiMH battery nominal time of operation with a full charge 8 h Bluetooth Class max 10m 30 distance between PC and RespiTrainer Base 100 Hz with 10 x oversampling averaging between data points dependent on test lung used Adult QuickLung 1 2L Infant 100 mL 50 mL to 50 L min 45 Technical Data RespiTrainer Advance Specifications Breath Rates Flows Peak flow Respiratory Mechanics Resistance Compliance Leak Pressure Measurement Airway Lung Physical Characteristics Dimensions WxLxH Data Acqui sition Base Carrying Case Weight dependent on test lung used 0 to 150 min calculated as real time from previous breath 270 L min dependent on test lung used Rp5 to Rp200 cmH2O L s parabolic characteristics assumed 2 to 50 mL cmH20 no lung leak condition assumed error lt 1 fso 100 cmH20 error lt 1 fso 100 cmH20O 185 x 330 x 267 mm 7 3 x 13 x 10 5 inch 185 x 310 x 55 mm 7 3 x 12 2 x 22 inch 280x356x318 mm 11x 14 x 12 5 inch 6 1 kg 13 5 Ibs complete system including QuickLung and carrying case without PC NOTE Specifications are subject to change without notice PLOZ PIT e2ipew JEWBUI ZL MS e2ueApy J9UIEJLIdSOX jenuey sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Ordering Information RespiTrainer
21. d and the calculation of average and standard deviation is therefore justified 43 44 Troubleshooting FAQs Parameter Definitions 7 Troubleshooting FAQs Wireless connection not established Does the Windows PC have Bluetooth powered on Is the RespiTrainer Advance RespiTrainer Base switched on Is the RespiTrainer software using the correct COM port the COM port assigned to serial service by the Bluetooth manager No volume delivered to the test lung Make sure that Resistance on the QuickLung is not set to OFF Are all connections made properly into the respective ports on the RespiTrainer Base and the head Large leak present Check that the stomach bag is connected or that the respective port on the RespiTrainer Base is plugged Make sure that the leak setting on the optional QuickLung swivel elbow adapter is set to No Leak Check other circuit connections for leaks PLOZ PIT Jeolpa JEWBUI ZL MS eoueApy J9UIEJLIdSOX enue Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Technical Data QuickLung Specifications 8 Technical Data 8 1 QuickLung Specifications For specifications of the IngMar Medical QuickLung please refer to the separate QuickLung Quick Reference Guide 8 2 Respilrainer Advance Specifications Power Requirements Data Battery Communicat Wireless Range Data sampling Volumes rate Tidal MV Wide range input AC DC ta
22. e lt Options gt tab that the RespiTrainer Advance s service mode may be accessed RealTime 1 RT1 i CSSS Options al RT Rr2 Data Trend Resut Test 12 6 al Ppeak NJI BR 11 ae Figure 4 7 27 28 Operation Use of the Software RT1 Figure 4 7 is considered the Main Screen of the RespiTrainer software The parameters displayed pressure breath rate and tidal volume are updated continuously in real time The graphical display of the lungs fills and empties in synchrony with the ventilation attempts made and the bargraph on the right will assist in finding the right level of minute ventilation for the chosen patient model Real Time 2 RT2 ES RespiTrainer A bs JI Options al pm RT2 Data Trend Resut Test Volume max 631 583 583 mL min 506 Airway Pressure max 14 8 13 8 13 3 cmH20 min 12 0 Flow max 85 46 L min min 77 Stop Pause DS Figure 4 8 PLOT pi e2ipew szewsu ZL MS eoueApy J8ure1 1dses enuey Sat User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Use of the Software RT2 Figure 4 8 shows real time parameters in numeric format only without graphical visualization giving in addition max min and current values of the parameters Tidal Volume Peak Pressure and Insp Flow Data b RespiTrainer
23. e PC proceed to the Test page and select a file name for saving data Also choose the test duration and the number of samples to be used for calculating minute ventilation default 1 For simulation of adult patients with RespiTrainer Advance the mannekin head at the beginning of the test should be down which prompts the message about a blocked airway to appear e PespiTrainer Sr 0 E 0 BR bpm 2 Data Trend Reut Test C mmh POSSIBLY RESTRICTED Correct head position Stop Vt mL Pause Figure 4 13 Operation Advanced Airway Interfaces The student is then expected to position the head into the overstretched sniffing position which will move the neck up on an arc on the head base This will cause the message to disappear and also to open up the airway that was otherwise restricted 4 3 Advanced Airway Interfaces 4 3 1 Simulation of a Patient Intubation The RespiTrainer Advance intubation trainer head is designed to allow for a realistic experience when attempting an intubation An 8 or 9 mm endotracheal tube is the appropriate size for ral intubation Note Do not use larger than 7mm size for nasal intubation or damage to the nasal passage of the RespiTrainer Advance head might result It is recommended to use commercially available glycol based lubricant on the ET tube Via the nipple below the chin it is possible to inflate the tongue to create a difficult to intuba
24. e2ueApy J9UIEJLIdSOX enuey sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Pairing the RespiTrainer Base With Your PC 4 7 Pairing the RespiTrainer Base With Your PC If your PC was not acquired through IngMar Medical the process of pairing the Bluetooth connection should be performed by the user for a more convenient startup and if the PC is intended to be linked exclusively to one RespiTrainer Advance RespiTrainer Base For this purpose start the PC and go to the Bluetooth Manager page which is part of your operating system Switch on the RespiTrainer Advance RespiTrainer Base From the Bluetooth Manager menu go to Paired Devices gt and ask the PC to add a device Tap on the magnifying glass symbol next to the Device field to search for Bluetooth devices in the vicinity The RespiTrainer Advance should be on the list of devices found Tap on its entry Respinnnn to initiate pairing The Passkey value to be entered is 1234 Click OK in the top right corner of the screen to add the selected RespiTrainer Advance to the list After successful pairing the RespiTrainer Advance connection will be automatic whenever the RespiTrainer software is launched If no pairing is performed the user will be directed to the Bluetooth browser after launch of the RespiTrainer software allowing to manually select a RespiTrainer Advance 39 40 Care Cleaning 5 Care 5 1 Cleaning He
25. ed on the bottom the QuickLung device itself The optional leak setting must be in the OFF position for accurate volume calculations in the PC software For neonatal patient settings C 3 cmH20 R 50 cmH20 L s the RespiTrainer infant can be ordered separately t should be used with both leak settings in the OFF position Air will escape otherwise 16 t LOZ PIT e2ipew JEWBUI Z MS e2ueApy 1u 1dses enuey sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Description Overview The RespiTrainer Base integrated into the RespiTrainer allows for capturing data in a realistic scenario for the assessment of skill levels of medical trained professionals This helps to produce a realistic scenario for medically trained professionals The RespiTrainer Advance requires the trainee to first bring the head into the sniffing position before beginning with the resuscitation If this is not done properly the system will generate a respective message in the software interface but also present a significantly higher mechanical airway resistance simulating a blocked airway in this fashion providing feedback to the trainee if this maneuver is not performed Note This feature is not included in the newest RespiTrainer Infant models The PC receives data from measurements via Bluetooth from the Acquisition Module and performs the calculations for the different performance parameters There a
26. er Base 15 mm patient circuit from QuickLung swivel connector to port labeled 2 on RespiTrainer Base stomach bag with 15mm connector elbow to 41 port on RespiTrainer Base To charge the NiMH battery in the data acquisition system as needed connect 12V table top power supply to line power and plug the small connector into the DC input socket on the RespiTrainer Base as needed If the battery has been significantly depleted an orange LED on the RespiTrainer Base will light indicating the system is in rapid charging mode After the battery is mostly charged trickle charging will continue but the orange LED will be off 19 20 Operation Setup for RespiTrainer Advance If you acquired your PC through IngMar Medical and the software was already preloaded you are now ready to use the PC Switch RespiTrainer Advance ON with the switch on the RespiTrainer Base Next power on your PC and verify the external Bluetooth adapter is plugged into one of the USB ports eae E CommSettingsDialog les Or NT MEDICAL Port coms 115200 Y Connecting Cancel Baud mp Parity None El For a prompt wireless connection confirm Stopbits CHE El gt QuickLung Instrumentation is ON gt Bluetooth is enabled on this Pocket PC oK Cancel L H A Figure 4 3 After a brief moment for loading the software the system will attempt to connect to the RespiTraine
27. er bas L CERTAT BB KGWANEDITAL Been j ge Jets Cis we II me Lis exem lU we 7 The next window has a check in the box stating Use default COM port Uncheck this box and click Ok on the pop up window Change the COM port to COM8 and make sure the Auto Connect box is checked Click Next to complete the COM setup fed II pa are ade H pa be pe 8 Click Next to verify the connection name is Respixxx Click Next again to complete the setup process Finally click Finish to close the setup wizard Verify the correct Respixxx is present in the Bluetooth Settings window 25 26 Operation Setup for RespiTrainer Advance 9 The computer and the RespiTrainer are now paired and ready for use PLOZ PY Jeolpew JEWBUI Z L MS e2ueApy ue Idsay enuey 5 185N User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Use of the Software 4 2 Use of the Software The software offers tools to collect display and save performance data as well as to configure the RespiTrainer Advance system for different simulation scenarios including performance parameter thresholds and test setups The software operates from six basic tabs Their functions are described in the following paragraphs In addition the lt Options gt tab on the task bar at the bottom of the screen allows for configuration calibration display settings and simulated tests It is also from th
28. hout following specific operating instructions will void this warranty and release IngMar Medical from any further warranty obligations The above is the sole warranty provided by IngMar Medical Ltd No other warranty expressed or implied is intended Representatives of IngMar Medical are not authorized to modify the terms of this warranty For factory repair service call Toll free 1 800 583 9910 International 412 441 8228 Facsimile 412 441 8404 or contact us via e mail service ingmarmed com Our shipping address IngMar Medical Ltd 5940 Baum Blvd Pittsburgh PA 15206 USA Please note that a valid merchandise shipment authorization no is always required before sending in any products for repair calibrations or updates Limitation of Liability IngMar Medical Ltd s liability whether arising out of or related to manufacture and sale of the goods their installation demonstration sales representation use performance or otherwise including any liability based upon above defined product warranty is subject to and limited to the exclusive terms and conditions as set forth whether based upon breach of warranty or any other cause of action whatsoever regardless of any fault attributable to IngMar Medical and regardless of the form of action including without limitation breach of warranty negligence strict liability or otherwise THE STATED EXPRESSED WARRANTIES ARE IN LIEU OF ALL OTHER WARRANTIES EXPRESSE
29. ient model and directly proceed to the RealTime1 screen RT1 by selecting ok Besides a standard adult pediatric or neonatal patient it is also possible to set up a customized patient model with free choice of compliance and resistance It is the user s responsibility to match the parameters indicated to the PC software with the actual parameters from a test lung 21 22 Operation Setup for RespiTrainer Advance For accurate results the assumption of linear compliance and parabolic resistor characteristics must be valid The RespiTrainer Infant is a variant of the RespiTrainer Advance Manual Ventilation and Intubation Task Trainer dedicated to training the same skills in caregivers to the infant patient population All instructions from the RT Advance Manual may be used respectively RespiTrainer Infant is available as part no 15 30 500 and uses the same software and Bluetooth connectivity as the other members of the RespiTrainer family An intubation accessory kit is available analogous to the RT Advance kit part no 15 30 740 as part no 15 30 730 Only the setup and the specifics of the model are different The neonatal lung model is directly integrated into the base no setup of a separate test lung is necessary e The neonatal lung model can be set to compliance values of 1 2 3 or 4 mL cmH20 based on the stopcock settings See 1 and 2 in below image Using the leak stopcock the neonatal lung leak values
30. manual ventilation techniques may be reconsidered from time to time It is quite difficult to adapt to new guidelines especially in stress situations if you have practiced a manual task in a particular way for many years Changing trained habits therefore becomes an important application for a task simulator such as the RespiTrainer Advance PLOT PIT JeoIlpae JEWBUI ZL MS e2ueApy JeureJ 1dses enue sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Description Overview 3 Description 3 1 Overview Figure 3 1 The IngMar Medical RespiTrainer Advance system consists of three main components which are 1 the lung model QuickLung 2 the RespiTrainer Base integrated into the patient interface intu bation trainer mannekin head and 3 a notebook PC running Windows 7 In addition a resuscitation bag not included is needed for intended operation as well as the medical instruments for patient intubation laryngoscope ET tube and LMA not included 15 Description Overview The precision test lung used is the IngMar Medical QuickLung which features linear response and the possibility to make reproducible changes in the resistance and compliance parameters For further information regarding the operation of this component please see the QuickLung Precision Lung Model User Quick Reference included as well as the Quick Reference basic instructions print
31. n RespiTrainer Advance Data Sampling and Exchange With The PC 6 Principle of Operation RespiTrainer Advance The RespiTrainer Advance RespiTrainer Base measures pressure in two locations in the airway and inside the simulated lung Because of the readily documented behavior of the QuickLung flow and volume can be calculated based solely on the chosen resistance and compliance parameters Note It is the user s responsibility to make sure the PC software is informed properly about the selected patient parameters in the initial patient select screen at the time of program start or whenever a change to the test lung parameters is made 6 1 Data Sampling and Exchange With The PC The RespiTrainer Base incorporates a Bluetooth wireless card that transmits data from two pressure transducers to the PC Pressure is sampled at a port inside the RespiTrainer Base and in the test lung With the known compliance of the test lung volumes can be determined from the lung pressure at zero flow condition Flow can be calculated from the pressure differential across the known resistance of the test lung The raw data is transmitted at a sampling rate of 100 Hz after which averaging oversampling is applied for a net data update rate of 10 Hz All parameters displayed carry performance thresholds that can be altered for adapting to different patient models For peak pressure there exists a second fixed threshold set to 20 cmH20 At that pressure
32. nd enforced in accordance with the laws of the Commonwealth of Pennsylvania with the exception of its conflict of law provisions The parties consent to the personal jurisdiction of the Commonwealth of Pennsylvania and agree that any legal proceedings arising out of this Agreement shall be conducted solely in such Commonwealth No action regardless of form arising out of this Agreement may be brought by either party more than one 1 year after a claim has accrued PLOZ PIT eoipew JEWBUI ZL MS eoueApy J9UIEJLIdSOX jenuey sasn This page intentionally left blank Y LOZ PHT eoipew JEWBUI O ZL MS e2ueApy 1u idses JENUEW ssn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Contents 1 Introduction ii e erts 10 1 1 Operator Safety oco duc eene 10 1 2 Definitions eie ten etus 10 1 2 1 Warnings and Caution Statements 10 14252 Nomenclature ina esce aeree 10 1 3 Typing Conventions 11 2 Intended Us eee te 12 2 1 Applications eee oe er ee 13 2 1 1 Training and Certification of Medical Personnel Paramedic EMT nurse respiratory therapist physician 13 2 1 2 Classroom Instruction 14 2 1 3 Validating Changing Trained Habits of Experi enced Staff14 3 Description since een e ERES 15 3 1 OVENVIEW icis ht eat t t A be Ribas 15 4 Operation ii RR CH RE teenies 18 4 1 Ke M 18 4 2 Use of the Software idad int 27 4 2 1 Application notes for software general
33. on 11 U Use of the Software ss ssseeenenzzznsnnznnzzznznzznnzi 27 V Ventilation Management manual nsss 13 W WARNING a ja baja ir See t edes 10 41 VT E ae 3 Windows Windows 2 18 WorkShop ics tte te e Ot 14 Index 49 User s Manual RespiTrainer SW 1 2 IngMar Medical Ltd 2014
34. r Base and a screen as depicted in Figure 4 3 left will be displayed When the first launching of the software the PC has been preconfigured to communicate over the Bluetooth using the COM8 port This COM port can be configured to a different port and the information will be saved to a configuration file You will then have the option to manually change the COM port to the correct setting Choose the Settings button and select the desired COM port from the drop down menu Do not change any other settings This step is only necessary once and the RespiTrainer software will retain this setting even after it has been PLOZ PIT e2ipew szewsu ZL MS aoueApY 1aulel idsoy enuey sasn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Setup for RespiTrainer Advance exited Usually it is possible to find out which is the COM port used by a PC s Bluetooth module by exploring the settings of the Bluetooth manager e Patient Parameters e INGMAR MEDICAL Adult Custom p lt Child Customize c Neonate Adult settings selected Compliance 50 Resistance 5 Please adjust QuickLung accordingly OK d Figure 4 4 From the Connecting page it is also possible to access the Patient Parameters page where the user may change the type of patient and the parameters to be set for the test lung Alternativelv the user may use the last pat
35. re several screens showing the effectiveness of the artificial ventilation see Data Display page 34 NOTE The software features and operation PC version of the RespiTrainer Advance conforms to the standard convention of menu selections at the top of an application window NOTE The RespiTrainer software installed on a Windows PC may be used with either the Infant version of the RespiTrainer or with the RespiTrainer Advance Both devices share the same data format and software related feature set 17 18 Operation Setup for RespiTrainer Advance 4 Operation 4 1 Setup for RespiTrainer Advance Prerequisites Bluetooth capable PC running Windows Carefully remove components from the soft sided carrying case or hard case Place QuickLung at the neck end of the head Use the swiveling elbow connector the optional leak adapter connector on the QuickLung for unobstructed settings of Resistance Make sure that the leak setting is turned off at this time Figure 4 1 PLOZ pi e2ipew JEWBUI ZL MS eoueApy 1u Idsay enuey 5 19sn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Setup for RespiTrainer Advance Figure 4 2 Make the following connections please refer to Figure 4 2 Pressure line from the bottom panel of the QuickLung to the Lung Pressure port Ea on RespiTrainer Base 15 mm patient circuit from neck of mannekin head to port la beled on RespiTrain
36. screen or on the task bar are indicated by use of a bold font e g Options 11 12 Intended Use 2 Intended Use The IngMar Medical RespiTrainer Advance and RespiTrainer Infant have been specifically designed to develop and maintain skills for manual bag valve mask BVM ventilation and intubation insertion of laryngeal masks or combi tubes This device is intended exclusively for the training of medical professionals and is suitable for all typical training environments allied health care schools simulation centers EMS training etc and for all skill levels from novice to expert Combined with the QuickLung precision test lung it constitutes a task trainer that can easily be adjusted to represent different pathological scenarios It is intended to assist trainees with applying appropriate airway pressure rhythm and minute ventilation once an appropriate airway connection has been established The device is an easy to operate and reliable tool which can not only assist beginners to get a feeling for proper manual bag ventilation without real patient exposure but also is helpful when seasoned medical staff is working to improve the efficiency of their bagging technique WARNING Do not use RespiTrainer Advance as a patient monitoring device Background Teaching the proper way of providing manual ventilation is particularly important since recent studies have shown that ventilation is often not adequate
37. te airway NOTE The RespiTrainer Advance head is equipped with break away teeth 4 3 2 Placing a Laryngeal Mask Thanks to the anatomically correct airway the airway trainer may also be used to practice placement of an LMA The appropriate size LMA is a 3 Figure 4 14 PLOZ pi e2ipew JEWBUI ZL MS eoueApy 1u 1dses enuey 5 19sn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Options 4 4 Options 44 1 ET View Option A stylet with a miniature video camera at its distal end is available as ET View option It allows the instructor or other students to see images from inside the airway on a PC screen and thus to follow currently in preparation It will allow ITVA images to be viewed on the PC This will allow an instructor to visually follow a student s progress in the intubation attempt 4 5 Shut Down and Storage After using the system remove circuits from both the QuickLung and the RespiTrainer Base Exit the RespiTrainer software and turn PC off The blue light on the RespiTrainer Base will turn off Switch the RespiTrainer Base off and unplug charger both from line power and from the RespiTrainer Base Place the RespiTrainer Advance head RespiTrainer Base inside the main bag compartment Store the PC and its charger if used in the smaller bottom pocket of the RespiTrainer Advance carrying case for optimum protection Place the QuickLung in the longer of
38. the two bottom compartments in the carrying case Close the zippers on both bottom compartments to prevent items from falling out of the bag Place the circuits and other small parts into the main compartment of the carrying case and close the main zipper 37 38 Operation Installing Updating Software on the PC 4 6 Installing Updating Software on the PC If your PC was not acquired through IngMar Medical together with the RespiTrainer Advance system or if you want to reinstall or update your PC software for the RespiTrainer Advance first establish a connection for file transfer with a PC The PC should have an available USB port into which you can then insert the USB memory stick delivered with the RespiTrainer Advance kit Execute the file RespiTrainer Advance msi which will install the software on the PC After that you should see the RespiTrainer Advance item and logo in the Start menu of the PC If the item does not show in your Start menu most likely it is already filled to capacity 8 items In this case you can either access the RespiTrainer software using File Explorer RespiTrainer Advance exe in the program files RespiTrainer Advancel directory or manually place a shortcut into the Start menu folder after deleting one of the items in the list To do this you copy RespiTrainer Advance exe from the program files directory and paste it as a shortcut onto the Desktop PLOT PIT e2ipew JEWBUI ZL MS
39. the user to practice in a realistic fashion the correct grip for pressing the mask onto the face including chin lift with both ring and little finger e Properly placing a laryngeal mask LMA when trying to provide added reliability to the interface between patient and bag e Practicing the procedure of intubating a patient Manual ventilation management correct pressure inflation time volume and frequency The RespiTrainer software pro vides real time feedback on the PC for acquiring skills and learn ing proper technique including a warning for excessive pressures that cause stomach insufflations For certification testing within a timed framework the software can also be used without showing performance feedback to the 13 14 Intended Use Applications student but giving the teacher a summary of results of the timed test see Results on page 31 2 1 2 Classroom Instruction With the PC software it is also possible to run a RespiTrainer Advance in a classroom and sending the data to a large display or projector so that a larger group of students may watch the performance simultaneously 2 1 3 Validating Changing Trained Habits of Experienced Staff As recent studies show the ventilation technique of seasoned medical staff frequently is not appropriate to the newest guidelines a finding with the possibility of profound implications for the patient Additionally as medical science evolves guidelines for
40. ti CES Respitrainer A PI Options Options al i al RTI RT2 Data Trend Resut Test RTI RT2 Data Trend Resut Test Volume Airway Lung vt 510 mL P_peak 12 1 10 4 ndi MV 6 01 L P_mean 3 9 3 8 P base 0 0 0 0 How Peak Insp 78 1 L min tinsp 1 9 Ave Insp 42 3 L min texp 2 6 Peak Exp 82 L min IE 0 73 Ave Exp 46 L min Rate 11 Pressure Time Volume Flow Figure 4 9 The data screen Figure 4 9 is split into two pages due to the screen limitations of a PC Pressure and timing data are displayed first upon selecting Data The user may then toggle between this screen page and another displaying flow and volume data 29 30 Operation Use of the Software Trends Bree EI Options al RTI RT2 Data Trend Resut Test 700 n KEE 300 25 o 20 BR pa 9 40 160 Figure 4 10 Graphic display of trends Figure 4 10 for tidal volume peak pressures and breath rate are very useful when trying to evaluate student performance at a glance The threshold values indicated for each of the three parameters make obvious during which part of a test a student s performance was acceptable or out of line with the requirements PLOT PIT e2ipew JEWBUI ZL MS eoueApy J8ure1 1dses enuey 5 9sn User s Manual RespiTrainer Advance SW 1 2 IngMar Medical Ltd 2014 Operation Use of the Software

User`s Manual - IngMar Medical

Contents

Download Pdf Manuals

Related Search

Related Contents