Mechanical Specifications - Nellcor EasyCap II Manual

Co2 detector
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CAUTIONS:
1. Inspect the Easy Cap II detector before attaching it to the
endotracheal tube. Do not use if any physical damage is observed.
2. Do not use device in the presence of trichlorethylene or chloroform
anesthetic; chemical interactions will affect device accuracy.
3. Do not subject device to extreme humidity, such as a heated
humidifier or nebulizer; excessive humidity will affect device
accuracy.
4. Reflux of gastric contents, mucus, edema fluid, or intratracheal
epinephrine into the Easy Cap II detector can yield persistent
patchy yellow or white discoloration which does not vary with the
respiratory cycle. Contamination of this type may also increase
airway resistance and affect ventilation. Discard device if this
occurs.
5. In cardiac arrest, re-establishment of cardiac output and
pulmonary blood flow by adequate CPR is necessary to increase
end-tidal CO
to levels detectable by the Easy Cap II detector
2
(above 0.5%).
6. The Easy Cap II detector is not a substitute for observation of the
patient. This device must not be relied upon as the sole indicator
of resuscitation performance.

Mechanical Specifications

Internal Volume:
25 cc
Resistance to Flow:
3.0 cm H
O ± 1 cm at 60 L/min flow
2
Weight:
Less than 20 g
Connector Ports:
Patient end: 15 mm I.D.
Circuit end: 15 mm O.D.
Covered by one or more of the following U.S. Patents and foreign
equivalents: 4,728,499; 4,879,999; 5,166,075; and 5,179,002.
© 2005 Nellcor Puritan Bennett Incorporated. All rights reserved.
Interpretation
Color Range A
End-Tidal CO
level approximately 0.03% to < 0.5%. < 4 mmHg, < 0.5 kPA
2
Color Range B
End-Tidal CO
level approximately 0.5% to < 2%. 4 to < 15 mmHg, 0.5–2 kPA
2
Color Range C
End-Tidal CO
level approximately 2% to 5%. 15 to 38 mmHg, 2–5 kPA
2
4
Easy Cap II Interpretation in the Presence of Adequate Pulmonary
Blood Flow/Spontaneous Heartbeat:
Color Range A
• .03% – < 0.5%
CO
*
ET
2
< 4 mmHg
• ET tube not in trachea
• Reinsert tube
• Recheck with Easy Cap II detector
Interpretation in the Presence of Poor Pulmonary
Blood Flow/Cardiac Arrest:
Color Range A
• .03% – < 0.5%
CO
*
ET
2
< 4 mmHg
• ET tube not in trachea
or
• Inadequate pulmonary blood flow
(ineffective CPR)
• Check if ET tube is through vocal cords
No
Yes
• ET tube not in
• ET tube in
trachea
trachea with
• Reinsert tube
inadequate
• Check with
pulmonary
Easy Cap II
blood flow
detector
• Take appropriate
clinical action
Color Range B
Color Range C
• 0.5% – < 2%
CO
*
• 2% – 5%
CO
*
ET
ET
2
2
4 – < 15 mmHg
15 – 38 mmHg
• Retained CO
in
• ET tube in trachea
2
esophagus
• Secure tube
or
• Continue to
• Low pulmonary
observe color
blood flow,
change
hypocarbia
*At sea level
• Deliver 6 more breaths
• Color remains tan
• ET tube in trachea
with low pulmonary
blood flow
or hypocarbia
Color Range B
Color Range C
• 0.5% – < 2%
CO
*
• 2% – 5%
CO
*
ET
ET
2
2
4 – < 15 mmHg
15 – 38 mmHg
• Retained CO
in
• ET tube in trachea
2
esophagus
• Secure tube
or
• Continue to observe
• Low pulmonary
color change
blood flow
*At sea level
• Deliver 6 more breaths
• Color remains tan
• ET tube in trachea
with low pulmonary
blood flow
5

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