Setting Up the Dash® CapnoFlex LF CO2 Module
Contents
1. 1 mmHg CO2 Averaging CO2 averaging is user selectable from the following times m Single breath m 10 seconds m 20 seconds N20 Compensation Configure for N20 from 0 to 40 or N20 gt 40 O2 Compensation Configured for O2 from 0 to 60 or O2 gt 60 Barometric Pressure The system automatically compensates for changes in Compensation barometric pressure over the atmospheric pressure range of 530 785 mmHg Warm up Time From connection of the module at room temperature it is 80 seconds maximum to initial CO2 indication and 3 minutes to full operating specifications Patient Status Alarms Upper and lower limits for inspired and expired CO2 user selectable at the host Respiration rate BrPM Measurement units Breaths per minute BrPM Range 0 to 150 BrPM Accuracy 1 BrPM Resolution 1 BrPM Averaging Respiration rate averaging is user selectable from the following times m Single breath m 10 seconds m 20 seconds DASH CapnoFlex LF CO2 Module 2000966 233 Revision A Diverting LoFlo Sampling System Flow rate 50 ml min 10 ml min Response time 5 CO2 step response 10 to 90 less than 200 milliseconds Sample System Integrity Acceptable leak rate is 2 4 in H2O min at 3 psi test pressure Power Requirements Powered by host Maximum power consumption 2 5 Watts non isolated Physical Dimensions Weight 6 ounces lt 1 kilogra2. SERVICE MODE menu starting from the MAIN menu 1 Select MORE MENUS gt MONITOR SETUP gt SERVICE MODE gt 2 Enter password using the Trim Knob control to select the day and month from monitor screen with leading zeros e g July 4 0407 NOTE Check for the date in the upper left of the monitor screen MAIN REVIEW CALIBRATE BATTERY PATIENT MONITOR TYPE MENU ERRORS SERVICE ADULT ICU MENU MONITOR COPY UNIT GRAPH TEST TIME AND SETUP SETTINGS DEFAULTS PATTERN DATE 030B 3 Select CALIBRATE then CO2 SERVICE 4 From the CO2 SERVICE window note the Barometric Pressure Revision A DASH CapnoFlex LF CO2 Module 9 2000966 233 Verify Accuracy Return to MORE MENUS and select CO2 to open the menu Select UNITS and set to MMHg Select CAL SENSOR TO ZERO CELL then select READY The on screen message reads CALIBRATING When the CALIBRATING message disappears connect the sample line to the calibration adapter Turn on the tank regulator for several seconds then turn it off If the NO BREATH DETECTED message appears simulate breathing by turning the regulator on for several seconds then off for several seconds Read the EXP number EXP mmHg CO value on tank X Barometric Pressure as noted above Tolerance 8 If the module tolerance is outside the above range return the module for repair 10 DASH CapnoFlex LF CO2 Module Revision A 2000966 233 Troubleshooting The follo
3. 2 monitoring for intubated and non intubated patients The module operates at a low flow rate to allow monitoring of adult and neonatal patients There are no controls or indicators on the module The module is compatible with all available versions of DASH software that have the CO function enabled NOTE Please refer to the appropriate DASH patient monitor service manual for more detailed information DASH CapnoFlex LF CO2 Module The module is attached to a retainer clip that is affixed to the DASH with double sided adhesive Instructions for affixing the retainer clip are shipped with the module Revision A DASH CapnoFlex LF CO2 Module 3 2000966 233 Technical Specifications Manufacturer Respironics Novametrix Inc Displayed Information Inspired and expired CO2 concentration Respiration rate BPM CO2 capnograph Measurement Method Diverting LoFlo infrared absorption dual wavelength ratiometric CO2 Measurement Units Millimeters of mercury mmHg Range 0 to 100 mmHg Accuracy 0 40 mmHg 2 mmHg 41 70 mmHg 5 of actual 71 100 mmHg 8 of actual All specifications 12 of actual from 80 to 150 BrPM Rise Time lt 200 milliseconds System Response Time lt 3 seconds Interference Device accuracy not affected due to the effects of interference by N20 O2 water vapor and concentrations of no more than 5 of halogenated anesthetic agents Measurement Resolution
4. LF CO2 Module 2000966 233 Revision A CE GE Medical Systems 0459 Information Technologies gemedical com World Headquarters European Representative Asia Region GE Medical Systems GE Medical Systems GE Medical Systems Asia Information Technologies Inc Information Technologies GmbH 7 127 Asahigaoka 4 chome 8200 West Tower Avenue Postfach 60 02 65 Hino shi Tokyo 191 8503 Milwaukee WI 53223 USA D 79032 Freiburg Japan Tel 414 355 5000 Germany Tel 81 42 582 6824 800 558 5120 US only Tel 49 761 45 43 0 Fax 81 42 582 6830 Fax 414 355 3790 Fax 49 761 45 43 233
5. No Power Check if DASH is on Plug into AC power Revision A DASH CapnoFlex LF CO2 Module 2000966 233 Parts List Revision History See the How to Reach Us page at the front of this document to order service parts The table below lists the part item number and description Item Number Item Description 2015023 001 DASH CAPNOFLEX LF CO2 MODULE 2013676 001 MOUNTING BKT DASH CAPNOFLEX LF CO2 MODULE 405910 001 KIT CO2 MODULE CALIBRATION 9504 016 GAS SCAVENGER 10FT TGB W CPLG 2013066 001 CAPNOFLEX CO2 NASAL CANNULA ADU 2013066 002 CAPNOFLEX CO2 NASAL CANNUAL PED 2013066 003 CAPNOFLEX CO2 NASAL CANNULA INF 2013066 004 CAPNOFLEX CO2 NASAL CANN W 02 ADU 2013066 005 CAPNOFLEX CO2 NASAL CANN W 02 PED 2013067 001 CAPNOFLEX CO2 ORAL NASAL CANNULA ADU 2013067 002 CAPNOFLEX CO2 ORAL NASAL CANNULA PED 2013067 003 CAPNOFLEX CO2 ORAL NASAL CANN W O2 ADU 2013067 004 CAPNOFLEX CO2 ORAL NASAL CANN W 02 PED 2013068 001 CAPNOFLEX LF AIRWAY ADAPTER ADU PED 2013068 003 CAPNOFLEX LF AIR ADPTR W NAFION ADU PED 2013069 001 CAPNOFLEX LF SAMPLE LINE W MALE LUER 2013069 002 CAPNOFLEX SMPL LN W MALE LUER amp NAFION Each page of the document has the document part number and revision letter at the bottom of the page The revision letter changes each time the document is updated Revision Date Comment A 28 February 2003 Initial release 12 DASH CapnoFlex
6. Operator Setup Instructions PN 2000966 232 GE Medical Systems English Information Technologies Setting Up the Dash CapnoFlex LF CO2 Module These instructions pertain to Dash 3000 4000 software versions 4 and previous WARNING Route all tubing away from the patient s throat to avoid strangulation CAUTION Do not use this module on patients that cannot tolerate the removal of 50 ml min from their total minute ventilation The CO2 chapter of the Dash patient monitor operator manual has additional safety information and details on the CO2 menu options Keep these setup instructions with the manual CO2 connector Cannula connector Scavenger port Dash Patient Monitor and Dash CapnoFlex LF CO2 Module 1 Plug the module into the CO2 connector on the patient monitor The message WARMING UP is displayed 2 Follow the steps below based on the message you see after the module is warm CAL SENSOR TO ZERO CELL a Connect the cannula to the module but not to the patient b Enter the CO2 menu c Select CAL SENSOR TO ZERO CELL d Select READY The message CALIBRATING is displayed e Wait for the message to clear then connect the cannula to the patient Refer to the instructions that come with the cannula CHECK ADAPTER ADAPTER CAL a The module is ready to use b Connect the cannula to the module and to the patient 3 Patient monitoring of CO2 begins Refer to the CO2 chapter of the Dash patient moni
7. m Width 4 0 inches 102 mm Depth 2 58 inches 65 mm Cooling Method Natural convection Heat Dissipation Less than 2 5 watts Temperature Operating 0 to 40 C 32 to 104 F non condensing Storage 40 to 70 C 40 to 158 F non condensing Pressure and Altitude Operating 273 1 to 2 942 8 meters 896 to 9 655 ft Storage 609 6 to 4 572 meters 2 000 to 15 000 ft Audible Noise lt 45 db Revision A DASH CapnoFlex LF CO2 Module 2000966 233 Theory of Operation The module is designed to work specifically with the DASH 3000 4000 monitor It is an infra red CO2 analyzer utilizing on the mainstream Capnostat technology It contains a sampling pump for pulling a gas sample into the analyzer It mounts to the side of the DASH and connects to the existing CO2 connector The supporting electronics and software in the DASH common to both the main stream sensor and the DASH CapnoFlex LF module The sampling flow rate is fixed and internally regulated to 50 ml min A differential sensor pressure in the sampling circuit provides the signal for regulation An occlusion can be detected by way of another pressure sensor constantly monitoring the pressure the sampling system for increased pressure If the preset pressure is exceeded for 15 seconds the pump is turned off The inlet to the analyzer is mechanically unique and only accepts an approved sampling line containi
8. nectors 3 Dry the surfaces with a clean cloth or paper towel The manufacturer suggests performing this procedure yearly Use the CO Module Calibration Kit pn 405910 001 or equivalent gas fixture with specifications shown below to successfully complete this verification See the How to Reach Us pages at the beginning of this document to order the kit through Accessories and Supplies Calibration Gas Mixture 10 carbon dioxide 25 oxygen balance nitrogen Minimum accuracy 0 05 Regulator Approximately 1 5 liters per minute Must have CGA value of cylinder outlet Tubing Type Tygon Endotracheal Tube ET Adapter Size dependent on airway adapter and tubing size Airway Adapter Use CapnoFlex LF Airway Adapter see Parts List on page 12 8 DASH CapnoFlex LF CO2 Module Revision A 2000966 233 Test Setup 1 Attach the module with sample line to the DASH patient monitor 2 Make sure the regulator is off by turning it clockwise 3 Attach one end of the large tube to the calibration tank regulator and the other end to the calibration adapter Do NOT connect the sample line to the adapter yet Tygon Tubing AN Regulator Li d a p T Calibration e tank A Sample Line Airway Adapter Note the Barometric Pressure Barometric pressure is used to calculate the percentage of CO in the patient s airway To read the barometric pressure access the
9. ng the water protection trap The sampling cell and water trap is integral to the disposable sampling assembly A reflective optical sensor provides a signal for enabling the pump The analyzer has all calibration factors stored in an EEPROM This allows for the use of the analyzer with any DASH as the calibration factors are read into the DASH each time a module is connected Below is a block diagram of the module UN DASH CapnoFlex EEPROM Daa LF CO2 Module Optics Source Drive Source Detector 2 o O 8 G i Z Pneumatics Data Ref Signals Pump Pressure flow control and alarms Active Electronics 2 Transducers Tubing Power I Z g 5 o Thermal System Temp N Heater Sensor 6 DASH CapnoFlex LF CO2 Module Revision A 2000966 233 Maintenance and Checkout Manufacturer Recommendations The manufacturer recommends the following Manufacturer Responsibility Visual Inspection Visual Inspection performed by service personnel upon receipt of the equipment every 12 months thereafter Cleaning performed by service personnel upon receipt of the equipment every 12 months thereafter Checkout Procedure performed by qualified service personnel every 12 months WARNING Failure on the part of all responsible individuals hospitals or institutions employing the use of this device t
10. o implement the recommended maintenance schedule may cause equipment failure and possible health hazards The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device Inspect the module prior to installation and once every 12 months thereafter Cleaning Carefully inspect the equipment for physical damage to the case Refer damaged equipment to qualified service personnel Inspect all external connections for loose connectors Refer damaged connectors to qualified service personnel Use one of the following approved solutions cidex solution or sodium hypochlorite bleach diluted or mild soap diluted lint free cloth dust remover compressed air Revision A DASH CapnoFlex LF CO2 Module 7 2000966 233 Module Accuracy Verification To avoid damage to the equipment surfaces never use the following cleaning agents organic solvents ammonia based solutions acetone solution betadine solution abrasive cleaning agents alcohol based cleaning agents a wax containing a cleaning substance or Disconnect the module from the DASH 2 Usea clean lint free cloth and one of the cleaning solutions listed above Wring the excess solution from the cloth Do not drip any liquid into open con
11. tor operator s manual for details about monitoring this parameter Troubleshooting Message Problem Solution CHECK ADAPTER m The cannula is not connected m Connect the cannula to the module ADAPTER CAL m The cannula is blocked m Replace the cannula m The module was calibrated without the cannula connected m Connect the cannula to the module and calibrate Refer to the module s service manual for additional troubleshooting information Revision C GE Medical Systems Information Technologies 8200 W Tower Ave Milwaukee WI 53223 U S A 18 April 2003 2003 GE Medical Systems nformation Technologies All rights reserved DASH CapnoFlex LF COQ Module Service Instructions Software Version A 2000966 233 Revision A GE Medical Systems Information Technologies gemedical com NOTE Due to continuing product innovation specifications in this manual are subject to change without notice DASH is a trademark of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office All other trademarks contained herein are the property of their respective owners GE Medical Systems nformation Technologies 2003 All rights reserved T 2 DASH CapnoFlex LF CO2 Module Revision A 2000966 233 28 February 2003 Description The DASH CapnoFlex LF CO module hereafter referred to as the module connects to the CO connector of the DASH patient monitor and provides CO
12. wing table lists screen messages and other indications that there is a problem with the module See Parts List on page 12 for item numbers and descriptions Message Possible Cause Solution CHECK ADAPTER A failure in the CO module board or a failure in the flow ADAPTER CAL circuit Check the flow circuit first 1 Insert sample line 2 Perform zero cell calibration 3 Swap sample line with known good sample line 4 Replace sample line 5 Swap module with known good module 6 Return module for repair WARMING UP Allow device to warm up for 1 minute Check if sample line is properly installed 1 Replace sample line 2 Return module for repair CAL SENSOR TO ZERO Perform zero cell calibration Check if sample line is properly CELL installed 1 Replace sample line 2 Return module for repair CAL ERROR SENSOR 1 Replace sample line 2 Return module for repair SERVICE CO2 SENSOR Return module for repair SERVICE CO2 TEMP Return module for repair CANNOT CALIBRATE Module thinks it has detected a breath Wait 2 minutes 1 Perform zero cell calibration 2 Return module for repair Other Possible Cause Solution No CO2 parameter box 1 Check if module is attached 2 Check if module is fully connected 3 Swap module with known good module 4 Return module for repair Incorrect CO2 Readings 1 Check if sample line is properly installed 2 Replace sample line 3 Return module for repair
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