Table of Contents
Summary of Contents for Organis TestChest V3
- Page 1 Operator's Manual Originalbetriebsanleitung TestChest ® Manufacturer: Organis GmbH Schulstrasse 76 CH-7302 Landquart Telephone: +41 81 300 65 80 Email: TestChest®@organis-gmbh.ch Organis GmbH Version 3 01/2018 Page 1 of 36...
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Page 2: Table Of Contents
6.2.1. Main menu 6.2.2 Changing lung parameters 6.2.3 Configure the Patient and Breath Library 6.3. Operation with CO2 6.4. Operation with oxygen 6.5. Operation with oximeter simulator Calibration Contact addresses Organis GmbH Version 3 – 01/2018 Page 2 of 36... -
Page 3: User Information
The appendices to these operating instructions are part of this document. 1.2. Difference to earlier versions TestChest V3 features the same functionality as earlier versions. There are no new risks or safety concerns and the same maintenance and repair procedures apply. However, the following features were added:... - Page 4 «Sufficient amount of time» is defined by the «Time constant recruitment» . The maximal value of Crs(actual) is Crs(expected). IMPORTANT: Crs remains unchanged if the «Minimal recruitment pressure» is set high enough so that it is never reached. Organis GmbH Version 3 – 01/2018 Page 4 of 36...
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Page 5: Safety Information
Indicates a potential dangerous situation. If the information is not followed, property damage will result. Points out a potentially dangerous situation that can lead to property damage when not avoided. Organis GmbH Version 3 – 01/2018 Page 5 of 36... -
Page 6: General Safety Instructions
7. Interaction with commercially available ventilators. 8. TestChest®® is a table model and must be operated in a horizontal position. e.g., on a table, operating table, examination table, or the like. Organis GmbH Version 3 – 01/2018 Page 6 of 36... -
Page 7: Important Information/Restrictions
The design of TestChest® is state of the art, and it is based on recognized safety rules. The following general residual risks should be considered when using the device. Other residual risks are described in the following chapters. Organis GmbH Version 3 – 01/2018 Page 7 of 36... - Page 8 TestChest® and that nothing is connected to the airway connector. NOTE Perform regular leak and functional tests on TestChest®. The test intervals are specified in the Service and Maintenace Manual, Chapter Organis GmbH Version 3 – 01/2018 Page 8 of 36...
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Page 9: Technical Specifications
Leakage 3 leak sizes, manually Arbitrary adjustable Cardiac output 500 to10000 ml/min Dead space approximately 175, 190, 205 0 to 100 vol % Rp5, Rp20, Rp50, Rp200 hPa/ (L/s) Organis GmbH Version 3 – 01/2018 Page 9 of 36... -
Page 10: Reasonably Foreseeable Misuse
Unauthorized modifications and changes to TestChest® void any warranty by the manufacturer. Spare and consumable parts and supplies: The use of spare and consumable parts from third parties can be hazardous. Use parts from the original manufacturer-only. Organis GmbH Version 3 – 01/2018 Page 10 of 36... -
Page 11: Responsibility Of The Operator
Operation Service Legend: X Permitted -- Not permitted 2.6. Safety and protective devices TestChest® may be operated only with an appropriate, completely closed housing. Otherwise, further operation is prohibited. Organis GmbH Version 3 – 01/2018 Page 11 of 36... -
Page 12: Description Of Testchest
DB9 connector for analog output J45 connector for Ethernet USB-B connector for service DB9 connector for pulse oximeter simulator ON/OFF switch Fuse (10 A) Low power device panel connector C14 Organis GmbH Version 3 – 01/2018 Page 12 of 36... - Page 13 Pin configuration for analouges output DSUB9/m is as follwing: Pin 4: Ppl Pin 7: Palv Pin 8: Pmusc Pin 9: VL The residual pins are GND Voltage range DAC: 0 - 3.3V Organis GmbH Version 3 – 01/2018 Page 13 of 36...
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Page 14: Structure Of Testchest
Calboard The Calboard includes connector sockets, actuators, sensors, and electronics Housing The housing consists of four parts and protects the operator from electrical and mechanical hazards Organis GmbH Version 3 – 01/2018 Page 14 of 36... -
Page 15: Assemblies And Components
The drive is carried out by a linear motor, which is guided by two parallel rods. Bellows The two bellows hold up to 4.5 l volume, mirroring the lung volume. Organis GmbH Version 3 – 01/2018 Page 15 of 36... -
Page 16: Calboard
. (This is how oxygen consumption is simulated.) Mass flow Controller The mass flow controller controls the intake of CO Leakage Leakage is controlled through valves, and the level is also manually settable. Organis GmbH Version 3 – 01/2018 Page 16 of 36... -
Page 17: Accessories
OxSim, including the electrical supply for the OxSim Basic Control operating software Communication software, to control TestChest® based on the operator- adjustable parameters and to display parameters measured by TestChest®. Organis GmbH Version 3 – 01/2018 Page 17 of 36... -
Page 18: Transport / Storage
Adequate stable and padded packaging is necessary to protect TestChest® from damage during transport. Organisms GmbH offers an optional carrying case for TestChest®. Storage: Keep TestChest® in a dry place at room temperature between 5°C and 40°C. Organis GmbH Version 3 – 01/2018 Page 18 of 36... -
Page 19: Installation And Startup Of Thetestchest
NOTE TestChest® is a table model and must be operated in a horizontal position. Otherwise, measurement or simulation errors may result. Step 2 Connect the power cord to TestChest®. Organis GmbH Version 3 – 01/2018 Page 19 of 36... - Page 20 OxSim ON/OFF switch to the OFF position. Step 4 Connect the laptop to TestChest® with a RJ45 patch cable (Ethernet). NOTE Requirements for the laptop: Microsoft Windows 7 operating system Organis GmbH Version 3 – 01/2018 Page 20 of 36...
- Page 21 TestChest® takes about 5 minutes. After calibration, TestChest® is ready for use. To maintain the desired level of accuracy, calibrate TestChest® at the intervals given in the Service Maintenance Manual Chapter 4.4. Organis GmbH Version 3 – 01/2018 Page 21 of 36...
- Page 22 TestChest Operator Manual Step 7 Connect TestChest® with the respirator. The simulation can be started Organis GmbH Version 3 – 01/2018 Page 22 of 36...
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Page 23: Operation (Normal Operation)
"Data Loading". When errors occur, this indicator turns red and error messages are displayed in the corresponding message field, with instructions for troubleshooting. Organis GmbH Version 3 – 01/2018 Page 23 of 36... - Page 24 The user can select one by simply clicking on the desired selection. Via the Button “Spontaneous Activity (P0.1)” the spontaneous activity can be a adjusted manually in frequency und force. Organis GmbH Version 3 – 01/2018 Page 24 of 36...
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Page 25: Changing Lung Parameters
Compliance of the system during the hyperinflation of the Compliance above UIP alveoli, that is, above the upper inflection point Leakage Leakage, that is, system leak Organis GmbH Version 3 – 01/2018 Page 25 of 36... - Page 26 Lung recruitment factor Compliance during recruiting According to the predicted FRC of the physiological model, FRC predicted the difference betwen the actual FRC, that is, the FRC at ZEEP, strongly influences oxygenation. Organis GmbH Version 3 – 01/2018 Page 26 of 36...
- Page 27 This value, a quotient of alveolar oxygen partial pressure, diffusion limit directly influences the effective O partial pressure, which in turn influences oxygen saturation. Organis GmbH Version 3 – 01/2018 Page 27 of 36...
- Page 28 Pcardio. Pcardio is derived from the pleural pressure and the time constants at 10 At Pcardio < 10 mbar at 20 At Pcardio between 10 mbar .. 20 mbar at 30 At Pcardio >30 mbar Organis GmbH Version 3 – 01/2018 Page 28 of 36...
- Page 29 14 Oxygen sat. pulm. capillaries Oxygen saturation of pulmonary capillaries As an example, a pressure alveole measurement of the lungs is shown below. The individual measured parameters can be selected through "Select Parameter". Organis GmbH Version 3 – 01/2018 Page 29 of 36...
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Page 30: Configure The Patient And Breath Library
User-supplied patient profiles can be overwritten. Further you can import and export patient data. Also you can delete any kind of patient data acc. to you selection. Organis GmbH Version 3 – 01/2018 Page 30 of 36... - Page 31 TestChest Operator Manual Organis GmbH Version 3 – 01/2018 Page 31 of 36...
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Page 32: Operation With Co2
6.4. Operation with oxygen TestChest® is supplied with high oxygen content through the ventilator. Chapter 2.1.1 explicitly describes the risks associated with elevated oxygen concentrations. Organis GmbH Version 3 – 01/2018 Page 32 of 36... -
Page 33: Operation With Oximeter Simulator
This generates the signals for the artificial finger. The ventilator’s pulse oximetry finger clip is clipped on this artificial finger, and the generated values are transmitted to the ventilator. Organis GmbH Version 3 – 01/2018 Page 33 of 36... -
Page 34: Calibration
Calibration starts. It takes about 3 minutes. TestChest® is now ready for use. CAUTION NOTE: Calibration starts, and takes about 3 minutes. Touching and moving TestChest® during this time can affect the accuracy of the calibration. Organis GmbH Version 3 – 01/2018 Page 34 of 36... -
Page 35: Contact Addresses
TestChest Operator Manual 7. Contact addresses Developer and manufacturer: Organis GmbH Schulstrasse 76 CH- 7302 Landquart Tel.: +41 (0) 81 / 300 65 80 Fax: +41 (0) 81 / 300 65 81 info@organis-gmbh.ch www.organis-gmbh.ch Sales and service: AQAI Simulationszentrum Mainz... - Page 36 TestChest Operator Manual 8. Declaration of conformity Organis GmbH Version 3 – 01/2018 Page 36 of 36...
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