Percussionaire TXP-2D Manual

Percussionaire TXP-2D Manual

Neonatal hf-transport ventilator

Advertisement

TXP®-2D
NEONATAL
HF-TRANSPORT
VENTILATOR
Percussionaire® Corporation
1655 Glengary Bay Rd. / PO Box 817
Sandpoint, ID 83864
Tel: 800-850-7205 Fax: 208-263-0577
Web Site: www.percussionaire.com
1

Advertisement

Table of Contents
loading

Summary of Contents for Percussionaire TXP-2D

  • Page 1 TXP®-2D NEONATAL HF-TRANSPORT VENTILATOR Percussionaire® Corporation 1655 Glengary Bay Rd. / PO Box 817 Sandpoint, ID 83864 Tel: 800-850-7205 Fax: 208-263-0577 Web Site: www.percussionaire.com...
  • Page 2: Table Of Contents

    TABLE OF CONTENTS GENERAL DESCRIPTION TXP®-2D_______________________3 FACE PANEL Control knobs _____4 PHASITRON® _____7 VENTILATION MODES High-frequency _____8 SET-UP High-frequency _____9 PARAMETER CHANGES High-frequency _____10 NO SET-UP _____11 CLEANING PROCEDURE______________12 MAINTENANCE AND REPAIR _____13 SPECIFICATIONS _____14 CALIBRATION _____15 FUNCTIONAL CHECK _____16 DRAWINGS Circuit _____17...
  • Page 3: General Description

    General Description TXP®-2D The TXP®-2D® is a high-frequency ventilator intended for the transport of neonatal patients. It is classified as a Pressure limited; Time cycled, High frequency, Flow interrupter. The ventilator consists of three main components: • Front panel. • Phasitron® patient interface with one-way failsafe and adjustable PEEP/Paw valve.
  • Page 4: Control Knobs

    Airway Pressure Manometer Gives a visual indication of airway pressure in cmH O or kPa Mean Button Control When not depressed, Airway Pressure Manometer gives indication of Mean Airway Pressure. When button is depressed and held, Airway Pressure Manometer gives indication of Amplitude.
  • Page 5 Frequency Counter When button is depressed, screen displays the high frequency rate in bpm.
  • Page 6 Frequency Control Knob By rotating knob the high-frequency rate during ventilation is set. Range: 200-700 bpm Amplitude Control Knob By rotating knob the pressure or chest wiggle during high frequency ventilation is set.
  • Page 7: Phasitron

    PHASITRON® General The Phasitron® is the Mechanical/Physiological interface. Essentially the Phasitron® is a sliding venturi that acts as both the inhalation and exhalation valve (see below). Programmed gas from the face plate is introduced through the delivery port from the white line.
  • Page 8: High-Frequency

    High-frequency details High-frequency The TXP®-2D delivers high- -frequency, flow interrupted breaths at 200-700 bpm. 700 bpm. (Approx. 3-10 Hz.) Goals of High-Frequency The aim of High-frequency is: frequency is: • Limit pressure exposure Limit pressure exposure • Optimize lung volumes where atelectasis is a major issue. Optimize lung volumes where atelectasis is a major issue.
  • Page 9: High-Frequency

    Troubleshooting Symptom Cause Solution Volume too low. Check working pressure on Adjust working pressure to cylinders or wall. 50 psi Decreased compliance or Increase pressure and treat increased resistance. problem according to findings. Volume too high. Increase compliance or Decrease inspiratory decreased resistance.
  • Page 10: Parameter Changes

    Parameter Changes High-frequency • CO is HIGH o Maximize Amplitude o Decrease Rate Amplitude and Rate are interconnected; changing one parameter will affect other. • CO is LOW o Decrease Amplitude is HIGH • o Decrease FIO o Decrease MAP (By use of PEEP valve) •...
  • Page 11: No Set-Up

    NO Set-up instructions • Replace standard Phasitron® swivel tee with NO swivel tee (if applicable) • Connect Aeronox® Injection port to Phasitron® NO Injection port. • Connect Aeronox® Monitoring port to Phasitron® NO monitoring port. • Connect red proximal airway port from TXP®-2D unit to proximal airway monitoring port.
  • Page 12: Cleaning Procedure

    These cleaning procedures supersede all others prior to January 29, 2007. PERCUSSIONAIRE® EQUIPMENT All new Percussionaire® products are packaged clean. They should not be considered sterile or decontaminated. Prior to use it is recommended that breathing circuit components be disassembled and sterilized/decontaminated.
  • Page 13: Maintenance And Repair

    If units are kept clean and water free, a three (3)-year life span between mandatory overhauls is a reasonable expectation. Units returned for maintenance and repair must be handled by a Percussionaire distributor. A return goods authorization number (RGA) can be obtained by contacting International Biomedical (512-873-0033).
  • Page 14: Specifications

    SPECIFICATIONS Size 4.25” W X 8.5” H X 3.475” D Weight 5lbs. Gas consumption 10-15 plum 1800 psi. X .28 (E cylinder factor) = (33 minutes) Approx. time E cylinder will last. 15 L Batteries Frequency Counter-4 AA batteries Frequencies/Rates High Frequency-200-700*bpm I:E Ratios in high frequency mode are as follows: Rate...
  • Page 15: Calibration

    H.F.-TB-20 Amplitude-FA-1 Set-up Procedures Set-up using standard Percussionaire® HF transport breathing circuit A50605 connected to a Percussionaire® test lung A50123. Open PEEP valve to full counterclockwise position. Connect TXP®-2D to 50 psi. gas source and set ventilator switch to HF.
  • Page 16: Functional Check

    TXP®-2D Functional Check Set-up Procedure Set up using standard Percussionaire® HF transport-breathing circuit (A50605) using test lung A50123. Open PEEP valve to full counterclockwise position. Insure Manometer needle is zero. If required remove cover of manometer and adjust calibration screw.
  • Page 17: Circuit

    Circuit A50605 A50304 PEEP Valve A50302 PEEP Adapter B11060 Sleeve A50007-12 Phasitron A50034 Included accessories (not shown) • Lube tube A50060 • NO kit A50610 • Neo test lung B12305...
  • Page 18: Phasitron

    Phasitron® A50007-12 Accessories (not shown) PEEP valve A50304 PEEP valve adapter A50302 Failsafe one-way valve A50324 Combination kit of A50302/A50304/A50324-A50326 NO kit A50610...
  • Page 19: No Kit

    NO Kit A50610 A99535 B110015-1...
  • Page 20: Competency

    Competency Simulations Sim 1 Set-up a standard TXP®-2D transport circuit. PASS FAIL Sim 2 Set-up a TXP®-2D transport circuit with provisions for NO. PASS FAIL Sim 3 Set-up a neonatal lung model with the following settings: • Frequency-9Hz. /450bpm. • Amplitude-As needed for effective chest wiggle. Approx.10-15 cmH •...
  • Page 21: Test

    Competency Test 1. Identify the following controls and their function. • HF • Amplitude • Mean Airway Pressure Selector 2. Explain in your own words how the Phasitron® functions. 3. If transporting a patient name two (2) vent changes that would decrease CO 4.
  • Page 22 Name________________________________________________ Date_____________ PASS FAIL Signature____________________________...
  • Page 23: Test Key

    Competency Competency Test Key 1. Identify the following controls and their function. • HF-Control rate of breaths per minute • Amplitude-Controls pressure change of breath • Mean Airway Pressure-Allows user to switch between P Amplitude reading on manometer. 2. Explain in your own words how the Phasitron® functions. •...
  • Page 24: Bibliography

    Bibliography • Honey G. et al. Use of the Duotron HFV During Neonatal Transport: Neonatal Network May/ June 2007; 26/3:167-174 • Heiman S. et al. Transport High frequency Ventilation Experience and Reason: Introducing the Bronchotron-I (BI) Ventilator into a Regional Perinatal Center Transport System.

Table of Contents