Engler ADS 2000 Manual
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Engler ADS 2000 Manual

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REV. F 10 / 21 / 2014

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Summary of Contents for Engler ADS 2000

  • Page 1 REV. F 10 / 21 / 2014...

  • Page 2: Company Profile

    Engler manufactures the Sonus V ultrasonic dental unit for the human market We manufacture all of the inserts and tips used in the Engler products as well as many others on the market today in the 18K, 25K, and 30K frequency range.

  • Page 3: Table Of Contents

    USING BREATHE FEATURE USING THE MASK MODE ENDOTRACHEAL TUBES and the ADS 2000 USING THE ADS 2000 in LAB MODE 25-26 USE OF EXTERNAL EQUIPMENT WITH THE ADS 2000 TROUBLESHOOTING THE ADS 2000 27-33 FREQUENTLY ASKED QUESTIONS 34-36 NOTICE OF CONFORMITY...

  • Page 4: Parts List

    PARTS LIST Upon opening the carton the ADS 2000 was shipped in, you will find: ADS 2000 Unit, ADS instruction manual, Instructional DVD, Breathing Circuit with gas sampling elbow, Green Oxygen Hose, “To” Vaporizer Hose, “From” Vaporizer Hose, Blue Scavenger Tubing,...

  • Page 5: Special Information - A Must Read Preview

    The red LED on the face of the ADS 2000 will illuminate when the battery requires charging. It will also flash whenever the external gas sampling hose is disconnected from the circuit.

  • Page 6: Installation Instructions

    5. Connecting the Power Adapter - Connect the small male plug of the power adapter into the back of the ADS 2000 at the 15 VDC @ 1.2 A outlet. Then plug the adapter into an electrical outlet. The supplied power adapter continuously charges the internal battery backup.
  • Page 7 Insert the Luer lock connector to the gas-sampling elbow and rotate it clockwise one half turn. Note: You’re ADS 2000 unit is fitted with a hose disconnect safety system. In the event that the external sampling hose becomes disconnected, the system will disconnect the gas input to the patient, sound an alarm and flash the red LED on the front left corner of the unit.

  • Page 8: Getting Familiar With The Ads 2000

    FILL / HOLD Button - When this button is pressed, the ADS 2000 will fill the lungs of the patient to the indicated peak inspiratory pressure and hold it until the button is released.
  • Page 9 BATTERY LOW INDICATOR / SAFETY ALARM - The red led on the front panel of the ADS 2000 is a warning indicator that the battery power is low, and that the unit should be placed on charge immediately. When the unit is first powered up the led will self test by flashing on and then should remain off.

  • Page 10: Pounds To Kilograms Conversion Chart

    POUNDS TO KILOGRAMS CONVERSION CHART In order for the ADS 2000 to operate properly, the correct patient weight must be entered. The ADS 2000 requires that the patient's weight be entered in kilograms, therefore if the patients weight in pounds is known then the following formula will help in determining the patients weight in kilograms.

  • Page 11: Turning On The Ads 2000

    4. While still holding your thumb over the sampling elbow, place the Power switch to "I" or "On" . The ADS 2000 will now perform a self-test. This will be indicated by the LCD display as shown in Figure 1. Continue to hold your thumb over the end of the sampling elbow until this test is complete.

  • Page 12: The Lcd Display In Set Mode

    Note: Do not connect TEST LUNG / patient until unit has passed self-test. SET MODE In this section you will learn and set up the parameters of the ADS 2000 in the "SET MODE". The "SET MODE" is the resting or static mode for the ADS 2000. The "SET MODE"...
  • Page 13 10, indicating a successful self-test. 3. To enter a different weight, simply press either the WEIGHT UP or WEIGHT DOWN buttons on the front of the ADS 2000 while in Set Mode, until the upper line of the LCD displays the desired weight.

  • Page 14: The Lcd Display In Run Mode

    NOTE: We suggest that you practice with the provided TEST LUNG, until you feel confident that you fully understand the proper operation of the ADS 2000. Throughout the manual whenever the word "patient(s)" is used, you will also see the words, “TEST LUNG”, this means that you should first familiarize yourself with this function by using...

  • Page 15: Understanding The Minute Volume Number

    NOTE: If pressure in the system increases between breaths, a built in safety feature will cause the ADS 2000 to allow an "exhale" (pop-off) , i.e. the exhale valve opens to allow pressure to escape. This would happen, for instance, if the surgeon leaned on the patient's chest.

  • Page 16: The Inspiratory Time

    Inspiratory Pressure. 3. A square BLACK cursor moving across a WHITE background indicates that the breath was initiated by the ADS 2000. Whereas a square WHITE cursor moving across a BLACK background indicates that the patient initiated the breath, (ASSIST MODE).

  • Page 17: Displaying Tidal Volume

    2000 was set to 24 LPM and if the unit were to have an inspiratory time of 1 minute, then 24 liters of gas would have been used. In reality, the ADS 2000 only allows gas to flow when a breath is being delivered. In order to determine the "Actual FLOW RATE" a simple calculation can be performed.

  • Page 18: Understanding Breaths Per Minute

    2. You would usually select the lowest possible number that does not cause false breaths. When in Assist MODE the ADS 2000 will wait for the patient to initiate a breath. If the patient does not SPONTANEOUSLY INITIATE a breath, the ADS 2000 will automatically begin the breathing cycle for the patient at the set parameters.

  • Page 19: Using The Fill / Hold Feature

    1. If the patient is not in a deep enough plane of anesthesia it may attempt to buck the ADS 2000. You will see very short inspiration times and violent attempts to inhale and exhale. There are several practical solutions to this problem.

  • Page 20: Understanding Peep Mode

    As shown below, the LCD display will now show a PEEP value instead of an Assist number NOTE: An " * " (asterisk) is displayed as an indication that the ADS 2000 is in the PEEP MODE. NOTE: The Assist MODE will not function when the ADS 2000 is in PEEP MODE.

  • Page 21: Understanding The Flush Mode

    UNDERSTANDING THE FLUSH MODE 1. To avoid failure of the ADS 2000 it must be flushed after each surgery. This will assist to remove any debris or condensation that may build up. 2. To enter the FLUSH MODE perform the following: a.

  • Page 22: Using Breathe Feature

    NOTE: To test the BREATHE function, turn the ADS 2000 ON, (see page 10) install the TEST LUNG onto the end of the breathing circuit, place the SET / RUN switch to "RUN".
  • Page 23 8. To end a MASK procedure, simply place the “MASK” switch in the OFF or “O” and put the 5 / 50 PSI Switch (on the back of the unit) back to 50 PSI. The ADS 2000 then reverts back to normal operation.

  • Page 24: Endotracheal Tubes And The Ads 2000

    ENDOTRACHEAL TUBES and the ADS 2000 1. The proper function of any ventilator depends on a good seal between the trachea and the tube cuff. Small leaks will cause the Minute Volume Per Kilogram to be inaccurate, while larger leaks will not allow the peak inspiratory pressure to be reached in a reasonable time if at all.

  • Page 25: Using The Ads 2000 In Lab Mode

    2. Now press the WEIGHT DOWN button until the LCD displays looks like the example below. 3. On the back panel of the ADS 2000 you will find a TOGGLE SWITCH to select the pressure - 50 PSI for normal operation (and to start up self test) and 5 PSI for LAB MODE.

  • Page 26: Use Of External Equipment With The Ads 2000

    EEC will not be held liable for any damage to the unit, injury or death to the patient if any non-approved equipment is used. Always test for correct operation on the Test Lung prior to using the ADS 2000 on a patient.

  • Page 27: Troubleshooting The Ads 2000

    ADS 2000 ON. Continue to hold the FILL / HOLD button down for 20 - 30 seconds. The LCD will display “SET TO 50 PSI”. The ADS 2000 is now in the FLUSH MODE and a full 60 LPM flow of oxygen is passing through the ADS 2000.
  • Page 28 Engler Engineering Corporation. See engler411.com for return, repair, and loaner forms, click the “repair” tab.. The female power socket in the back of the ADS 2000 has been damaged. See engler411.com for return, repair, and loaner forms, click the “repair” tab.
  • Page 29 (running in Battery Mode) aids in isolating the ADS 2000 from electro surge interference. Note: Your ADS 2000 unit is fitted with a Hose Disconnect Safety System. In the event that the external sampling hose becomes disconnected, the system will disconnect the gas input to the patient, sound an alarm and flash the red light on the front left corner of the unit.
  • Page 30 This may indicate a number of problems. In order to test all internal lines and valves the ADS 2000 attempts to pressurize and then checks for leaks. If it cannot pressurize then it will give the above readout. The causes for the error are as follows: a.
  • Page 31 Call 800-445-8581 4. If upon Self-Test you get the following display: This display indicates that there is a minor leak or the Safety Pop Off is releasing at too low a pressure. Engler Engineering Corporation ADS 2000...
  • Page 32 Self-Test cont. a. There is a loose connection to the ADS 2000 or to the vaporizer, check and secure all connections. Press the WEIGHT DOWN button to Retry. b. There is debris or condensation trapped inside the unit, perform a FLUSH of the unit by following the instructions in the UNDERSTANDING THE FLUSH MODE section of this manual.
  • Page 33 Hose. a. Inspect all the hoses and re-install any disconnected hoses. After a few seconds the system will automatically go back to normal operation. b. If the problem persists call EEC's assistance hot line. 1-800-445-8581 Engler Engineering Corporation ADS 2000...

  • Page 34: Frequently Asked Questions

    Inspiratory Time of 60 seconds. An example would be as follows; say the ADS 2000 was set to 24 LPM and we let the unit have an inspiratory time of 1 minute, then 24 liters of gas would have been used. In reality, the ADS 2000 only allows gas to flow when a breath is delivered for whatever the Inspiratory Time is.
  • Page 35 Q. Can I use the ADS 2000 with my Induction Chamber? A. Of course, if you put the ADS 2000 into the MASK MODE it will allow a continuous flow of anesthetic gas to flow through the breathing circuit. All you have to do is...
  • Page 36 Since the ADS 2000 fills up the lungs for each breath there is no need for a breathing bag. The ADS 2000 does not recycle the exhaled gas; it delivers the waste gas to the scavenger system.

  • Page 37: Notice Of Conformity

    Cet appareil numérique de la Classe A est conforme à la norme NMB-003 du Canada. If you have any questions or comments, please contact: Engler Engineering Corporation 1099 East 47th Street, Hialeah, Florida 33013 800-445-8581 – 305-688-8581 – FAX 305-685-7671 Web site: www.englerusa.com...

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