DA Manual
Contents
1. 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 Michigan Instruments at 1 800 530 9939 1 Description General Information about the TTL The Model 5600i Dual Adult TTL is a unique mechanical simulator of adult human pulmonary mechanics This instrument is ideal for evaluating and demonstrating mechanical ventilation devices and phenomena Lungs are simulated using elastomer bellows with two adult lungs incorporated into the 5600i The adult lungs hold a residual capacity typical of an adult human lung Gas is inserted into the adult lungs through a simulated airway This insertion causes the vertical expansion of the lung and a corresponding rise of the top plate A volume scale behind the top plates and pressure gauges on the front of the TTL can be used to visually see the measurements of tidal volume in mL airway pressure in cmH2O and lung pressure in cmH20 Lung compliance is accurately set and adjusted for each lung using a steel alloy spring which is stretched during inflation of the lung Airway resistance is simulated by using a fixed orifice flow resistor These features of adjustable compliance and resistance allow the TTL to realistically simulate a wide variety of healthy and diseased pulmonary cond2. airway resistors 6 into the Y adaptor Connect one end of the hose assemblies 7 to the lower airway resistors and the other end to the lung inlet ports on the top plates Attach a single outlet pressure pickoff adaptor 8 to the proximal end of the upper airway resistor and connect this adaptor to the proximal pressure input port 9 using the 1 8 inch hosing 10 included with the accessories Please see Figure 1 for display of Dual Lung Simulation Figure 1 Dual Lung Simulation To Set Lung Compliance 1 Loosen the knob on the compliance spring 2 Grasp the compliance spring and slide the entire mechanism until the pointer is positioned on the desired setting Lock in place by tightening the knob Please see Figure 2 for compliance spring setting Figure 2 Compliance Spring Setting Single Lung Simulation 1 2 3 Loosen the rest knob 1 on the front of the TTL and insert the rest assembly 2 into the holder Lock it in place by tightening the knob Select a PneuFlo resistor 3 to simulate total airway resistance and connect it to the proximal outward facing opening on the rest assembly Connect the 15mm straight connector 4 to the distal lung side of the rest assembly Connect one end of the hose assembly 5 into the straight connector and the other end into the lung inlet port in the top plate of the right lung Attach a single outlet pressure pickoff adap
3. and medications contact Michigan Instruments Inc 4 Applications The 5600i 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 5600i the perfect tool for an end less number of applications including e Performance testing of ventilators and related equipment e Classroom instruction on mechanical ventilation equipment techniques and phenomena e Product demonstration and evaluations e Product development and quality control e 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 Model 5600i PneuView 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 5600i 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 c
4. 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 5600i meets or exceeds the requirements set for testing in these standards Reference Standard ANSI 279 7 Standard ISO 5469 1987 Standard ASTM F 1100 90 Specifications Adult Lung Tidal Volume Capacity 2 0 Liters Residual Lung Volume 1 022 Liters Lung Compliance 01 to 10 Accuracy 3 at calibration volumes Airway Resistance Rp 5 20 or 50 Accuracy 5 at calibration flows Size 20 x25 5 x8 5 Weight 33 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 5600i is built around an aluminum frame which provides stability for the components of the lung The Lung Bellows The adult lungs are simulated using 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 5600i are 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 a
5. 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 0700 NO OT i0 Adjust the compliance and resistance on the 5600i 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 5600i and set the ventilator to operate as it 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 40 Classroom Instruction Demonstration The 5600i Dual Adult Pneu View System is a dynamic lung model which can be of great assistance in the classroom The adjustable lung compliance and 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
6. 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 prepaid and insured 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 Warranty repairs are shipped to the customer at no charge Payment is net 30 days Open accounts are subject to credit approval Oo N 45 6 Warnings and Cautions Warnin
7. Creating and Saving Templates Export Report Text Files Export Real Time Data Files Other Features of PneuView 4 Applications 6 Ventilator Testing Classroom Instruction Demonstration Maintenance and Service Calibration Check Model 5600i Leak Test Warranty Agreement Factory Service Policy Requesting Factory Service for Your Model 5600i Warnings and Cautions Storage and Shipping INTRODUCTION The Model 5600i Dual Adult Pneu View System Part Number 15090 combines the unique features of the TTL Training Test Lung with the data acquisition and processing capabilities of a personal computer This system was developed to allow the comprehensive 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
8. L at a rate of 26 BPM and a tidal volume of 1 0 Liters with a baseline PEEP of zero 7 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 lung 8 Save this as a template for future demonstrations 41 5 Maintenance and Service The 5600i Dual Adult 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 5600i 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 proper mechanical and electrical calibration of the system This calibration can be checked using the following equipment and procedures Equipment Needed e Pneu View 5600i Software Test Lung operating with Pneu View Software e Calibrated 1 liter syringe or other calibrated volume injector e Independent r
9. MODEL 5600 Dual Adult PNEU VIEW SYSTEM OPERATION MANUAL Manufactured By WY Instruments 4717 Talon Court SE Grand Rapids MI 49512 Tel 800 530 9939 or 616 554 9696 FAX 616 554 3067 Email 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 5600i Computer Interface Setup Dual Lung Simulation Compliance Spring Setting Single Lung Simulation Measuring Oxygen Concentration in the lung Care of 5600i 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 Files Save Project Command Save Data Buffer Begin Save End Save Trend Testing Setup From Trend Menu Begin From Trend Menu End From Trend Menu Tabulated Data Measure Pressure Volume and Flow Volume Loops Reviewing Files WNN OOONDDA GO pe ek a ee ka ek OONDABRWNH OO NMNNNMNN DY NNa 0 N N w MNNNNYN OND A Reviewing a Project File Changing the Graph Window Reviewing Trend Test Files Reviewing Data Tables Printing Files
10. SE SAVE THE SHIPPING CARTON FOR FUTURE USE Replacement cartons are available for purchase from Michigan Instruments If a carrying case was purchased with this unit it is not necessary to remove the 5600i from the case for shipping However the carrying case is not meant to be used as a shipping container If the 5600i is shipped in the case the carton containing the foam inserts should be used 47
11. aise the volume plate scale by grasping the volume scale latch knobs on the bottom of the scale and pull them towards each other Lift to upright position and release knobs Open the TTL accessory case All parts needed to construct the airway are located in this box 5600i Computer Interface Setup 1 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 back of the 5600i Attach the power jack into the 5600i located to the left of the serial port connection and plug the transformer into an appropriate AC power source Turn the power switch located on the front of the unit to the on position The Pneu View Software program must be installed and operational on your personal computer See Pneu View Software setup Section 3 for complete instructions on software operation Dual Lung Simulation 1 2 NOOO Loosen the rest knob 1 on the front of the TTL and insert the rest assembly 2 into the holder Lock it in place by tightening the knob Select one PneuFlo resistor to simulate airway resistance and two resistors to simulate lower airway resistance Connect the upper airway resistor 3 to the proximal outward facing opening on the rest assembly Connect the 15mm straight connector 4 to the distal lung side of the rest assembly Attach the Y adaptor 5 to the distal end of the straight connector Insert the lower
12. e 1 offers some typical values for healthy adults However most ventilated patients do not possess these normal characteristics Compliance 05 to 10 L cmH2O0 Resistance 0 5 to 5 0 cmH20 L sec Respiratory Rate 10 to 20 Breaths per Minute Tidal Volume 3to5 mL kg body weight I E Ratio 1 2 Seconds 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 Table 2 The TTL as Related to Ventilator Testing Standards 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 manufacturer s specifications Standards published by the American National Standards Institute ANSI the International Organization
13. 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 Set the lung compliance of the TTL to 05 L cmH20 2 Select an Rpd resistor 3 With the PneuView running enter the correct compliance and resistance values in the Reference Conditions Window 4 Display Tidal Volume in the Respiratory Parameters window and Waveform Display window 5 Enter a description of the demonstration in the Notes window 6 Using a ventilator or resuscitation bag ventilate the TTL at a rate of 12 breaths per minute and tidal volume of approximately 800 liters 7 Note the tidal volume measured 8 Change the compliance of the lung to 03 then 02 and finally 01 and note the lung volumes with each change 9 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 Select an Rp20 resistor 2 Set the lung compliance at 08 L cmH20 3 With PneuView running enter the correct conditions in the Reference Conditions window 4 Display proximal airway pressure and lung pressure in the Waveform Display window 5 Enter a description of the demonstration in the Notes window 6 Ventilate the TT
14. eliable pressure gauge or manometer 1 or 1 cmH20 The following procedure can be used to quickly check the calibration of your 5600i 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 Adult Lung 1 Enter the Calibration mode of PneuView Displayed pressures for the airway and lung should read zero 0 0 2 Set the adult 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 42 6 Repeat these insertions into the lung using 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 01 97 0 to 103 0 Table 1 Adult Lung Calibration Values If the displayed pressures do not fall within
15. g Warning Caution Caution Caution Caution Explosion Hazard f 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 5600i Attachment removal and servicing of the Electronic Interface Module should be performed only by Michigan Instruments Inc Operate the 5600i within its specified limits Over inflation of the bellows or excessive pressure within the system may cause damage to the bellows gauges or transducers To prevent damage during shipping and handling set and lock the compliance springs at the 02 setting on the compliance scale Do not sterilize the 5600i The internal components are not compat ible with sterilization techniques The 5600i should be turned off and unplugged while moving the unit and between uses 46 7 Storage and Shipping The Model 5600i Dual Adult Pneu View System is shipped to the customer in a specially designed shipping carton This carton is used to protect the 5600i when not in use and should be used to transport the unit If the unit needs to be shipped via United Parcel Service or other carrier the unit MUST be placed in this carton See Factory Service Policy Page 44 for servicing instructions PLEA
16. gen concentration can be monitored in each lung through the oxygen analyzer ports located on the top plate of each lung The 15 mm fitting is designed to accept most common oxygen analyzers When not in use the oxygen port is covered and sealed with the port cover Pressure Gauges Three pressure gauges are found on the front of the 5600i The right and left gauges are internally plumbed to the left and right adult lungs The center or proximal pressure gauge is externally plumbed to the proximal airway via a pressure pickoff adaptor and the pressure input port adjacent to the gauge These gauges are most useful when not acquiring data through PneuView but may be used to confirm PneuView s pressure measurements Auxiliary Pressure Ports Adjacent to each pressure gauge is an auxiliary pressure port which is internally plumbed to the corresponding gauge These ports allow other pressure sensing or measuring equipment to be tied into the system These ports are equipped with a check valve and remain closed until the port is mated with a miniature quick connector These connectors are included in the accessory kit Lung Coupling Clip This clip is utilized when one lung is being used to drive the second for spontaneous breathing simulation 2 Setup and Operation To Start 1 2 3 Set the 5600i on a level surface Remove the top cover of the carrying case if included with your unit by unlatching the four clasps on each side R
17. itions Several special features add to the versatility of the TTL Oxygen sensor ports in the top of each lung compartment and auxiliary pressure ports adjacent to each pressure gauge provide sites for the tie in of related monitoring equipment The 5600i houses an Electronic Interface Module which 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 PneuView 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 Section 3 provides complete operating instructions The TTL As Compared to Typical Patients The Model 5600i is designed to realistically simulate the mechanics of the adult ventilatory system from upper airway to the lungs It is NOT a detailed model of actual human anatomy However the TTL offers simulation capabilities and versatility not seen in other devices and is useful for a wide variety of applications The variable lung compliance and airway resistance allows for simulation of both healthy and diseased pulmonary conditions Tabl
18. lloy 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 various points along the top plate The greater the distance the spring is positioned from the hinge point of the top plate the less compliant or stiffer the lung The Airway The adult airway is constructed by using a hose assembly various connectors and one of the PneuFlo Airway Resistors included in your accessory kit Tapered fittings on all of these accessories prevent gas leaks during use 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 each lung While this scale is calibrated for various lung compliances the resolution can make data acquisition difficult The volume scale is a useful indicator when not using the Pneu View software To correctly read the volume scale the volume pointer must be positioned to correspond with the actual compliance setting for the lung being used Oxygen Analyzer Port Oxy
19. onsistently 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 10 20 10 5 Compliance 05 05 02 02 01 L cmH20 Resistance 5 20 20 20 50 cmH20 L sec 39 Procedure 1 To 10 11 Adjust the compliance and resistance on the 5600i as called for in Test 1 of the above protocol Attach the patient connection of the ventilators breathing circuit to the airway of the 5600i 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 correspond with the 5600i 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 5600i 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
20. the acceptable range for either of the given compliance settings 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 5600i Leak Test If you suspect an air leak in the test lung use the following procedure to locate the source of the leak 1 Assemble the airway for ventilation of the right lung and set the compliance at the 02 position 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 cmH2O in 30 seconds 5 Repeat the test using the left lung 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 5600i Dual Adult 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 the end purchaser excluding the diaphragm gauges contained therein All repairs necessitated by malfunction of this equipment during the warranty period when in normal use in accordance with instr
21. tor 6 to the proximal end of the resistor Use the 1 8 inch hose 7 to connect the pressure pickoff adaptor to the proximal pressure input port 8 located to the left of the center gauge Please see Figure 3 for display of Single Lung simulation Figure 3 Single Lung Simulation 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 airway assembly of the 5600i Measuring Oxygen Concentration in the Lung 1 Unscrew the oxygen port cover on the top plate of the unit 2 Place an appropriate oxygen sensor 15 mm fitting into the adaptor 3 Replace the cover when finished Care of the 5600i after Ventilation with Humidified Gases The airway and lungs of the 5600i 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 drain ports located on the back of the unit After any fluids are drained from the unit the 5600i should then be ventilated with dry gas for several minutes For more information on the use of the TTL with specific chemical agents
22. uctions 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 43 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 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 5600i Dual Adult Pneu View System is co
23. vered by a limited two year warranty Return the registration card promptly to ensure proper registration of your unit and help expedite repairs if they should ever be necessary Registration is also available online at our website www iichiganinstruments com The Model 5600i 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 5600i 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 5600 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 Instruments 44 NOTE DO NOT USE THE 5600i CASE AS A SHIPPING CONTAINER It is not designed to withstand the rigorous handling
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