Table of Contents
Advertisement
Advertisement
Table of Contents
Related Manuals for Percussionaire IPV-2C
Summary of Contents for Percussionaire IPV-2C
- Page 1 ® USER MANUAL TRUE-IPV THERAPY DEVICES ®...
- Page 2 First Printing February 2020 Percussionaire® is a registered trademark of Percussionaire Corporation. This work is the sole property of Percussionaire® Corporation. The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Percussionaire®.
-
Page 3: Table Of Contents
Pole Mount ......................13 Phasitron® 5 Breathing Circuit Setup ..............14 Phasitron® 5 Diagram ..................15 Configurations .....................15 Connecting to the Percussionaire® IPV®-2C ..........16 Connecting the Tubing Harness to Phasitron®5 ........16 Adding Saline Solution or Medication ............17 TRUE-IPV® In-Line Valve Setup ................18 Adding Phasitron®... - Page 4 Cleaning and Disinfecting Solutions ............38 Chapter 10: Troubleshooting ..................39 Changing Batteries ....................40 Chapter 11: Technical Specifications ................41 IPV®-2C ..........................41 Phasitron® 5 .........................42 Percussionaire® Digital Multimeter (PDM) Specifications ......42 Chapter 12: Service and Repair ..................43 Chapter 13: Disposal of Equipment ................43 Chapter 14: Limited Warranty..................43...
-
Page 5: Chapter 1: Introduction
Chapter 1: Introduction This chapter provides an overview of the IPV®-2C device and TRUE-IPV® therapy. Intrapulmonary Percussive Ventilation (IPV®) Designed specifically for non-continuous institutional/hospital use, the IPV®-2C is a pressure-limited and time-cycled ventilator which provides IPV® therapy, a modality of mechanical ventilation “Intrapulmonary Percussive Ventilation” (IPV®). The IPV®-2C provides high frequency percussive pulses between 60-330 cycles per minute. -
Page 6: Three Components Of True-Ipv
Three Components of TRUE-IPV® The Three Components of Intrapulmonary Percussive Ventilation (IPV®) • Diffusion • Perfusion Vesicular • Convection Peristalsis Frequency = 300 Frequency = 150 Frequency = 100 Percussive Mechanical Percussive Convective Percussive Perfusion f=300 Mixing Diffusion f=150 f=100 Ventilation With Diffusion Vesicular Peristalsis Percussive Mechanical Mixing... -
Page 7: True-Ipv® Lung Recruitment Protocol
TRUE-IPV® Lung Recruitment Protocol Chart The chart (below) illustrates the typical TRUE-IPV® lung recruitment protocol. Adjustable CPAP This is a method of preventing recruited bronchial airways and alveoli from deflating to an obstructive end resting position during each expiratory lung deflation. It is accomplished as follows: The positive pressure percussive sub tidal volume is generally delivered in milliseconds with an i/e ratio (approximating 1:2.5) at an endobronchial... - Page 8 With a longer expiratory time than inspiratory time (i/e ratio of about 1:2.5) and a selected cycling rate of between 100 and 300 cycles per minute, the peripheral airways and alveolar pressures are not allowed to reach ambient before the next sub tidal volume delivery (re-pressurization) is initiated. The peripheral airway and alveolar patency are typically maintained before a peripheral end expiratory airway air trapping can occur.
-
Page 9: Chapter 2: Intended Use
Chapter 2: Intended Use Indications for Use The IPV®-2C is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis. It can also provide supplemental oxygen when used with compressed oxygen. Patient Population IPV®-2C ventilator is for use on neonatal, pediatric, and adult patient populations. Absolute Contraindications •... -
Page 10: Clinical Limitations/Restrictions
Clinical Limitations/Restrictions Use of the IPV®-2C is limited to individuals who have received proper training. For invasive applications or patients supported by Continuous Mandatory Ventilation (CMV). WARNING: Due to the therapeutic nature of these devices, they do not have disconnect alarms . Consequently, the patient MUST be under continuous observation by a clinician. -
Page 11: Chapter 3: True-Ipv® In-Line Valve With A Ventilator
Mandatory Ventilation (CMV) using pressure-control, volume-control, SIMV-PC etc., when direct connection of IPV® is not indicated. NOTE: For use only with Percussionaire® TRUE-IPV® ventilator devices. Compatible with all Percussionaire® single patient Phasitrons. The IPV® In-Line Valve is indicated for neonatal, pediatric, and adult patient populations, for whom IPV®... -
Page 12: Chapter 4: Setup
Chapter 4: Setup IPV®-2C and Stand Phasitron® 5 holder bracket DISS supplied oxygen hose for incoming gas between 50 - 80 psig (345 - 551 kPa) Normally supplied to USA devices Pole and stand assembly... -
Page 13: Rear Panel
Rear Panel Blended Gas/Air Connection The IPV®-2C can be connected to hospital single gas source or blended gas. Single or double air/oxygen gas connections available. Current Gas/Air Connectors Available: DISS NIST European AFNOR French UNIFOR Italian German Scandinavian British Pole Mount Supplied rear mounting bracket for Adjustable pole mount to attach pole mounting the IPV®-2C device... -
Page 14: Phasitron®5 Breathing Circuit Setup
Phasitron®5 Breathing Circuit Setup The patented Phasitron®5 uses a unique venturi as a “clutch” mechanism to protect the lung from over pressure. By automatically adjusting to the resistance of the lung, the Phasitron®5 precisely and safely delivers the optimal amount and flow of air required by the alveolar space. -
Page 15: Phasitron®5 Diagram
Housing Nebulizer Cap Mouthpiece Diaphragm Nebulizer Bowl Baffle WARNING: Only use Percussionaire® parts and accessories Type BF Single patient use Configurations Phasitron® 5 kit can be used with or without a mouthpiece or standard mask (as shown below). Connection sizes, 15mm ID or 22mm OD. -
Page 16: Connecting To The Percussionaire® Ipv®-2C
Connecting to the IPV®-2C Connect red, clear, and yellow tubing connectors to IPV®-2C controller device. WARNING: Green remote NOT USED bulkhead is vented, do not obstruct Connect the Tubing Harness to Phasitron® 5 Connect yellow tubing quick-connect fitting to nebulizer bowl. Press red tubing onto conical connector at rear of Phasitron®... -
Page 17: Adding Saline Solution Or Medication
Adding Saline Solution or Medication Twist clockwise to open nebulizer bowl. Add saline and/or prescribed medication. Reverse to close. CAUTION: Ensure yellow nebulizer tubing is not bent. This may cause undue stress on connector. CAUTION: Do not bend nebulizer bowl while holding the tubing. This may cause undue stress on the red line conical connector. -
Page 18: True-Ipv® In-Line Valve Setup
TRUE-IPV® In-Line Valve Setup Patient connection wye Phasitron® port connection Pediatric to Adult Neonatal Recommended to install Recommended to install as close to the patient between heater and wye as allowable inspiratory limb. Insert TRUE-IPV® In-Line Valve into inspiratory limb of ventilator circuit. WARNING: Ensure Pressure Relief valve is closed. -
Page 19: Percussionaire® Digital Multimeter (Pdm) Setup
Percussionaire® Digital Multimeter (PDM) Setup NOTE: Remove the PDM from the IPV®-2C device, to access battery pull tabs, by turning the PDM counterclockwise. Pull up to remove both tabs NOTE: To ensure correct atmospheric pressure calibration at start up, remove batteries, wait 30 seconds and re-install. -
Page 20: Chapter 5: Contoller Functions
Chapter 5: Controller Functions Knob, Switch and Button Knob Functions DEMAND CPAP/PEEP Demand Continuous Positive Airway Pressure (Demand-CPAP) for reducing the work of breathing • Lifts the baseline in a static way • Affects peak and mean airway pressure • Used to reduce work of breathing (WOB), stabilize upper airways The Inspiratory Time control knob arrow when INSP TIME... - Page 21 Knob Function The Manual Inspiration button controls the delivery of a regulated source of gas through the orifice of the Phasitron®5 venturi. • To remove CO • To induce a cough WARNING: The longer the Manual Inspiration button is pressed, the greater the potential for tidal volume delivery.
-
Page 22: Percussionaire® Digital Multimeter (Pdm)
Fault. Power-On Self-Test (POST) Mode When batteries are installed in a system, the Percussionaire® Digital Multimeter (PDM) software displays the software revision, battery voltage, total usage time and serial number for 15 seconds. This Start-Up mode allows the software to perform additional tests on the hardware that are part of the Power-On Self-Test. -
Page 23: Wake Mode
Wake Mode To wake up the PDM, ensure the ventilator pressure is greater than 2.5 cmH₂O or 2 hPa at the Phasitron®5 patient delivery port for more than 1 second. The PDM remains on for the first 15 seconds, showing the Bar-Graph timer. If usage is stopped within 12 seconds, the PDM enters Report mode. - Page 24 The Pulsating Bar Graph on the left side displays Pulse Amplitude calculated as average peak amplitude pressure sample in last 5 seconds, minus amplitude pressure sample in last 5 seconds. The Bar Graph is a visual representation better reflecting AIP and AEP values and represents an estimate of airway pressure.
-
Page 25: Report Mode
Mean Airway Pulse Amplitude Pressure Pulse Frequency Rate Usage Timer EUR Therapy: IPV®-2C, display Report Mode The Session Timer and the Total Usage Timer (A) are displayed for 2 seconds, followed by the System Information page (B) for 2 seconds, alternating. The alternating page display continues for 5 minutes or until usage resumes and the PDM enters Active mode. -
Page 26: Sleep Mode
The display screen when the IPV®-2C ventilator is switched off. US IPV: IPV®-2C NOTE: When the IPV®-2C is turned off, the measurements will drop to zeros after a few seconds. Sleep Mode In Sleep mode the LCD is off, but the microcontroller continues to sample and calculate the pressure at the measuring port 5 times a second. -
Page 27: Fault Logging
(note that positive terminals face same direction) and wait 30 seconds until the screen turns off. If POST check runs correctly, PDM may be used. If System Failure screen recurs, contact an authorized Percussionaire® service center. Fault Logging The software keeps track of several types of hardware and data faults. All faults are logged in the microcontroller’s memory and are retained even if the batteries are... -
Page 28: Chapter 6: Pre-Use Check
Chapter 6: Pre-Use Check Pre-Use Check with Blender If no blender is used, go to next table “Pre-Use Check”. Plug in Air high-pressure hose. Listen for blender alarm, then disconnect air hose. Plug in Oxygen high-pressure hose and disconnect air hose. Listen for blender alarm. Plug in Air high-pressure hose. - Page 29 NOTE: If using the “EUR” multimeter, MAP is in a different position on display. Mean Airway Pressure Pulse Amplitude Mean Airway Pressure US IPV® Display EUR IPV® Display Adjust INSP FLOW (green knob) until MAP reaches 10 cmH₂O displayed on the PDM (multimeter).
-
Page 30: Chapter 7: True-Ipv® Therapy Parameters
Chapter 7: TRUE-IPV® Therapy Parameters Amplitude and Flow Frequency: Depend on treating goal/pathology. Choosing parameters depends on: 1. Pathology 4. Tolerance 2. Ventilation parameters 5. Chest Wiggle 3. Clinical conditions The proximal pressure variation depends on: 1. Installed parameters 2. Resistance of the interface 3. The patient •... -
Page 31: Chapter 8: General True-Ipv® Therapy Protocol
Chapter 8: General TRUE-IPV® Therapy Protocol General TRUE-IPV® Therapy Protocol for Pediatric/Adult Connect the IPV®-2C to 50-80 psig (345-551 kPa) gas power source. Master Switch is “OFF”. The patient may sit in an upright, comfortable position or lie down with head and shoulders elevated. -
Page 32: General True-Ipv® Therapy Protocol For Neonates
The Phasitron®5 should be rinsed, cleaned and stored in the supplied bag, as per hospital infection control policy, until the next treatment. NOTE: The Phasitron® 5 is a SINGLE PATIENT, MULTIPLE USE DEVICE. NOTE: Percussionaire® recommends cleaning per your institution’s approved practice between treatments. General TRUE-IPV® Therapy Protocol for Neonates Verify infant has a properly placed Oral Gastric (OG) Tube, open to room air before starting IPV treatments. - Page 33 The Phasitron®5 should be rinsed, cleaned and stored in the supplied bag, as per hospital infection policy, until the next treatment. NOTE: The Phasitron® 5 is a SINGLE PATIENT, MULTIPLE USE DEVICE. NOTE: Percussionaire® recommends cleaning per your institution’s approved practice between treatments.
-
Page 34: Administering True-Ipv® Therapy With In-Line Valve
Administering TRUE-IPV® Therapy with In-Line Valve When administering TRUE-IPV® Therapy with an In-Line Valve, a pressure control (PC) mode is recommended or follow your institutional protocol. Mean Airway Pressures will increase slightly with the administration of TRUE-IPV® in-line therapy with the ventilator. The respiratory care practitioner must be aware of this effect and monitor the patient closely for any adverse side effects. -
Page 35: Completion Of Therapy With In-Line Valve
Percussion should continue through two complete ventilator cycles to allow ventilator to deliver several machine breaths. Adjust pressure relief valve, depending on which ventilator mode is used, and observe visible chest movement. Monitor breath sounds and observe pulse oximeter for oxygen saturation improvement. -
Page 36: Chapter 9: Cleaning And Disinfection
WARNING: The cell used in this device may present a risk of fire or chemical burn hazard if mistreated. Do not recharge, disassemble, heat above 100°C (212°F) or incinerate. Replace cell with type recognized CR123A only, or Percussionaire® part PRT-B13350. Use of another cell may present a risk of fire or explosion. -
Page 37: Disassembly Of The Phasitron®5
Disassembly of the Phasitron®5 Disconnect tubing from IPV®-2C device and Phasitron®5. 1. Gently rotate nebulizer bowl towards the rear of the Phasitron®5 until it stops. 2. Gently separate nebulizer from Phasitron®5 3. Holding the nebulizer cap, twist the nebulizer bowl to remove bowl from cap. Discard any unused medication in accordance with hospital/institutional protocol. -
Page 38: Cleaning Phasitron®5
Cleaning Phasitron®5 Thoroughly rinse each of the disassembled parts (except for tubing harness and filter) under warm running tap water for approximately 10 seconds. Use fragrance-free liquid soap added to a clean bowl or basin with warm water. Hand wash all parts of the Phasitron®5 kit and accessories in the warm soapy water. -
Page 39: Chapter 10: Troubleshooting
CAUTION: If you notice any unexplained changes in the performance of the device, if the device is making unusual sounds, or if the device is dropped or damaged in any way, discontinue use and contact an authorized Percussionaire® service center. -
Page 40: Changing Batteries
Changing PDM Batteries A Low Battery indicator is displayed when battery capacity is nearing depletion. Press on the PDM’s bezel and twist counterclockwise approximately 20 degrees. Gently pull on the multimeter to remove it from the housing. Remove the two old batteries. Install two new batteries. -
Page 41: Chapter 11: Technical Specifications
Chapter 11: Technical Specifications IPV®-2C Dimensions (W x H x D) 17cm x 24.13cm x 24.13cm (6.7" x 9.5" x 9.5") Weight 1.99 kg (4.4 lbs) Operating Range Temp., 0°C to 49°C (32°F to 120°F), Humidity 5%-95% Storage and Transport Temp., -20°C to 60°C (-4°F to 140°F) Humidity <... -
Page 42: Phasitron® 5
Recycle according to local laws Service Life 6 months or 540 uses, whichever is less Shelf Life 2 years from date of manufacture Percussionaire® Digital Multimeter (PDM) Specifications Size 73 mm (2.87 inch) diameter Mass 165 g (0.36 lb) Temp -20°C to 60°C (-4°F to 140°F) -
Page 43: Chapter 12: Service And Repair
(proof of delivery will be required). If the product fails to perform in accordance with the product specifications, Percussionaire® will repair or replace – at its option – the defective material or part. Percussionaire® will pay customary freight charges to and from Percussionaire® or an authorized Percussionaire® service center. - Page 44 130 McGhee Road, Suite 109, Sandpoint, Idaho 83864 USA MDSS GmbH, Schiffgraben 41, 30175 Hannover, Germany percussionaire.com +1.208.263.2549 0123 P20046 Rev A...