Penlon ESO 2 User Manual
  1. Manuals
  2. Brands
  3. Penlon Manuals
  4. Medical Equipment
  5. ESO 2
  6. User manual

Penlon ESO 2 User Manual

Emergency ventilator
Hide thumbs
Table of Contents

Advertisement

Quick Links

Download this manual
User Manual
ESO 2 Emergency Ventilator
V E N T I L AT I O N S O LU T I O N S

Advertisement

Table of Contents
loading

Related Manuals for Penlon ESO 2

Summary of Contents for Penlon ESO 2

  • Page 1 User Manual ESO 2 Emergency Ventilator V E N T I L AT I O N S O LU T I O N S...
  • Page 3 Always give as much of the following information as possible: 1. Type of equipment 2. Product name 3. Serial number (refer to the device ID label) 4. Approximate date of purchase 5. Apparent fault ESO 2 ICU Ventilator User Manual...

  • Page 4: The Importance Of Patient Monitoring

    The Importance of Patient Monitoring This manual has been produced to provide authorised personnel with information on the function, routine performance and maintenance checks applicable to the ESO 2 WARNING Emergency Ventilator. Patient monitors are very desirable aids but are not true...

  • Page 5: Table Of Contents

    Advanced Spontaneous Breathing Modes (SIMV, SMMV, PSV) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 ESO 2 ICU Ventilator...
  • Page 6 APPENDIX 10 . Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 ESO 2 ICU Ventilator...
  • Page 7 Should such a repair become necessary it is recommended that a request for service advice be made to Penlon Ltd. This device and any of its constituent parts must be repaired only in accordance with written instructions issued by the manufacturer and must not be altered or modified in any way without the written approval of the manufacturer.

  • Page 8: Warnings And Cautions

    Calibration Check and Output Check must be successfully ventilator and therefore cannot be directly under the completed. Checks must be carried out by a Penlon- control of the manufacturer. However, we strongly trained engineer.
  • Page 9 34. Do not touch any electrical device cable or connector at diaphragm valve in the base of the bellows assembly. the same time as the patient. Never use any hard object or abrasive detergent to clean ESO 2 ICU Ventilator User Manual...
  • Page 10 4. The accuracy of flow and volume measurements may be reduced if the oxygen monitor is not in use. 5. Fresh gas mixture compensation is disabled if the oxygen monitor is switched ‘off’ in the menu. ESO 2 ICU Ventilator User Manual...

  • Page 11: Purpose

    The oxygen monitor is an integral part of the ventilator. The oxygen monitor is intended for use by health care providers, i.e. Physicians and Nurses, for use with patients in intensive care applications. ESO 2 ICU Ventilator User Manual...

  • Page 12: Description

    3. Description 3.1 ESO 2 System Description WARNING Important: Delivering high fresh gas flows when using closed endotracheal suction. This ventilator is configured to deliver flows of oxygen in excess of the maximum shown on the flowmeter tube in order to fill the ventilator bellows during closed endotracheal suction.

  • Page 13: Ventilator

    1. The driving gas supply must be clean and dry to prevent ventilator malfunction. • Supply pressure: Air at 280 to 600 kPa (41 to 87 psi). ESO 2 ICU Ventilator User Manual...
  • Page 14 LOW BATTERY level. 3. A fourteen hours recharge will be necessary to bring the battery to full charge. Battery care See Appendix 1 for battery care procedures. ESO 2 ICU Ventilator User Manual...
  • Page 15 Area A Menu and sub-menu window Waveform display, pause and print symbols Area B Alarm values window Area C Gas mixture selection window Area D Oxygen monitor values window Area E Breathing mode symbols ESO 2 ICU Ventilator User Manual...
  • Page 16 White text on Blue Label (3A) White values on Black (3B) 4. Measured Parameters Yellow values on Black 5. Breathing mode information symbols Adult mode Ventilator mode Sigh Paediatric mode Bag mode Inspiratory pause ESO 2 ICU Ventilator User Manual...
  • Page 17 2. If another parameter is selected using the touchscreen, the menu is de-selected. 3. While any menu is selected: a) the alarms are active the ventilator can be switched off See Appendix for a further information on Menu structure. ESO 2 ICU Ventilator User Manual...
  • Page 18 ADULT DEFAULTS I : E : 1: 2.0 PEEP : OFF VIEW Limit : 38 cmH2O Trigger : 1.0 L/min Apnoea Alarm Limit : 15 secs PAEDIATRIC DEFAULTS Volume Type: Tidal VIEW CALIBRATE TOUCH SCREEN ESO 2 ICU Ventilator User Manual...
  • Page 19 Once the ventilator bellows is full the O2 flow should be reduced to that in range of the calibrated flow tube, then accurate volume delivery and measurement will resume. See section 5.3 for additional information. ESO 2 ICU Ventilator User Manual...
  • Page 20 3.2.8.4 Altitude Compensation This function monitors ambient pressure, and adjusts the delivered volume accordingly Altitude compensation is automatically applied during calibration of the oxygen monitor - see section 4.3 ESO 2 ICU Ventilator User Manual...
  • Page 21 The screen will display the previous ventilation mode, highlighted in yellow, within the relevant box. The last used parameters will also be displayed. • In Standby mode, the underline (1) indicates the last used ventilation mode ESO 2 ICU Ventilator User Manual...
  • Page 22 NOTE: Pressure limit will default to the previous Pressure Target value + 5 cmH2O 5. At confirmation, the ventilator will switch to Volume Mode. NOTE: Volume mode will commence at the beginning of an exhalation phase. ESO 2 ICU Ventilator User Manual...
  • Page 23 Touch the screen in the area containing the green icons to access mode configuration options (including INSP PAUSE, NOTE: SIGH, and APNOEA ALARM mute/inhibit). The sigh function is cancelled when standby is selected. ESO 2 ICU Ventilator User Manual...
  • Page 24 • A high inspiratory flow is used to achieve and maintain the target pressure. • The exhaust valve operates to prevent excess pressure. • There is no Inspiratory Pause function in pressure mode. ESO 2 ICU Ventilator User Manual...

  • Page 25: Spirometry

    Calibration SPIRO CALIBRATION: 0 L/min 1. Press the navigator wheel to initiate the calibration procedure (see section 4.1.7 for full procedure). 2. To exit the menu, scroll to EXIT MENUS and press the wheel. ESO 2 ICU Ventilator User Manual...

  • Page 26: Display Waveforms

    1. In Pressure vs. Time and Volume vs. Time modes the scale adjusts as Rate is changed (0 to 15 sec, 5 sec, 3 sec) 2. In Volume vs. Pressure mode the scale adjusts as Plimit is changed (-20 to 40, 60, 80 cmH2O). ESO 2 ICU Ventilator User Manual...

  • Page 27: Alarms

    Printer not available Printer disconnected, or has no power, or has no paper. zero Automatic Priority level: High priority: Five ascending tones - repeated. Medium priority: Three ascending tones - repeated. Low priority: Single tone ESO 2 ICU Ventilator User Manual...

  • Page 28: Oxygen Monitor

    SPIRO CALIBRATION: 0 L/min Scroll to O2 MONITOR, rotate the wheel to ‘on’, press the wheel to confirm. NOTE 1. The oxygen monitor defaults to the previous values for high and low alarm settings. ESO 2 ICU Ventilator User Manual...
  • Page 29 4. At ventilator power-up, the status ‘O2 monitor off’ is indicated onscreen by a red oxygen concentration window (2). If the window is not visible, contact Penlon Technical Support - see rear cover for contact details. CALIBRATION Scroll to CALIBRATION, and press the navigator wheel to initiate the calibration procedure (see section 5.4.2 for full...
  • Page 30 The switch will illuminate, and a single note will sound. The alarm mute can not be operated: 1. Until the mute time is over, or the alarm condition has been rectified. 2. When oxygen concentration drops below 18%.. ESO 2 ICU Ventilator User Manual...

  • Page 31: Pre-Operation Checks And Procedures

    Before the ventilator is used clinically for the first time a Calibration Check and Output Check must be successfully completed. This work must be carried out by a Penlon-trained technician, following the procedure in section 6.6 in the AV-S service manual.
  • Page 32 2. The individual spirometers must be matched to the specific ventilator by a qualified service engineer as part of commissioning or a subsequent service visit. The following calibration instructions must be performed by the user as part of the daily check procedure. ESO 2 ICU Ventilator User Manual...
  • Page 33 1. Fresh gas compensation is disabled, or 2. Spirometry is unavailable or disabled The ventilator will continue to function, although the target pressure may be exceeded by up to 10 cmH2O. ESO 2 ICU Ventilator User Manual...
  • Page 34 LEAK LEVEL: 0 mL/min c) The ventilator will continue to operate, irrespective of BSYS COMP 7.0 mL/cmH2O any detected leak. d) It is the responsibility of the user to determine if the detected leak is significant. ESO 2 ICU Ventilator User Manual...
  • Page 35 5. Function test the ventilator - section 4.2.1.3. NOTE If there is any malfunction, the ventilator must NOT be used. If the problem cannot be rectified, the ventilator must be checked by an engineer trained by the manufacturer. ESO 2 ICU Ventilator User Manual...

  • Page 36: Pre-Use Checklist

    The value should be between 600 ml and 800 ml. If the delivered tidal volume is outside this range, refer the ventilator to a trained engineer. 7. Check that spirometer readings, once settled, show correct delivery of 600 ±20 ml. ESO 2 ICU Ventilator User Manual...
  • Page 37 Do not use the ventilator if there is any malfunction. If the problem cannot be rectified, the ventilator must be checked by a trained engineer. Bellows Check the condition of the bellows and exhalation diaphragm valve (section 6.6). ESO 2 ICU Ventilator User Manual...

  • Page 38: Oxygen Monitor System Set-Up

    8. A message ‘Calibrated at 100% oxygen’ should be displayed. Note that ‘ERROR: CAL OUT OF RANGE’ will be displayed if the user has attempted to calibrate at 21% in 100% O2 9. Turn off the oxygen supply. ESO 2 ICU Ventilator User Manual...
  • Page 39 2. Scroll to LOW ALARM SET and press the navigator wheel. 3. Rotate the wheel (3) to change the displayed alarm figure to the desired value, then press the wheel to confirm. 4. Scroll to ESCAPE FROM MENUS, press the wheel to exit. ESO 2 ICU Ventilator User Manual...

  • Page 40: Start-Up And Operating Instructions

    (a) Select the required settings and commence PAEDIATRIC Limit : 15 secs ventilation, or DEFAULTS Volume Type: Tidal (b) Select SITE DEFAULTS and create a group of Press to view frequently used settings and save for future quick access. ESO 2 ICU Ventilator User Manual...

  • Page 41: Suggested Protocol For Closed Endotracheal Suction In Volume Or Pressure Mode

    Pause regularly to allow PEEP to recover. 5. Watch the pressure waveform on the ventilator to check PEEP is not falling below 6-10 cmH2O 6. When finished return O2 and Air flows SLOWLY to original mixture. ESO 2 ICU Ventilator User Manual...

  • Page 42: Oxygen Monitor

    2. Scroll to LOW ALARM SET and press the wheel. 3. Rotate the wheel (3) to change the displayed setting (5) to the desired value, press the wheel to confirm. Select ESCAPE FROM MENUS, press the wheel to exit. ESO 2 ICU Ventilator User Manual...

  • Page 43: Maintenance

    Use a cloth dampened with a mild detergent solution. Clean all surfaces thoroughly, particularly those areas likely to have been touched during clinical procedures. Touch screen Use a soft cloth only. Never use any harsh abrasive cleaning agent. ESO 2 ICU Ventilator User Manual...
  • Page 44 (5) locates in the port in the patient block. Fit the securing knobs (3). 6.2.7.6 Pre-use Checks 1. Function test the ventilator before clinical use (see 4.2.1.3). ESO 2 ICU Ventilator User Manual...

  • Page 45: Sterilisation

    Refit in accordance with section 6.2.7. Function test the ventilator before clinical use - see section 4.2.1.3. CAUTION After cleaning and sterilisation, and/or repair, the patient block assembly must be refitted to the original control unit. ESO 2 ICU Ventilator User Manual...

  • Page 46: Oxygen Sensor Replacement

    Dispose of the used components according to hospital, local, state and federal regulations. 3. Screw the new sensor (2) into the absorber. 4. Attach the cable connector (1). 5. Calibrate the new sensor - see section 4.3.2. ESO 2 ICU Ventilator User Manual...

  • Page 47: Electrical Interface, Cables, Tubing

    The ventilator will not function if the O-ring is missing. 7. Refer to section 6.7 for disinfection and sterilisation information for the bellows components. ESO 2 ICU Ventilator User Manual...

  • Page 48: Sterilisation And Disinfectant Treatment Table

    1. Refit the exhalation diaphragm valve assembly (2) to the bellows base. 2. Refit the bellows assembly (3) and housing (4). CAUTION Check for correct fitment of the bellows (3). Function test the ventilator before clinical use (refer to 4.2.1.3). ESO 2 ICU Ventilator User Manual...

  • Page 49: Appendix

    B, below. Batteries in machines in normal use will be kept charged by WARNING the internal power supply. Only use accessories approved by Penlon Ltd. Note that the Low Battery Alarm indicator may be displayed if 57655 Compact pressure tee automatic recharging is taking place when the ventilator is in use.

  • Page 50: Appendix 4 Operating System

    Interface and Parameter Inputs connected to equipment complying with IEC safety standards 5. Spirometer connection (e.g. IEC 60950) which are then configured to comply with 6. Interface connector (not used) IEC 60601-1 (Medical Systems). ESO 2 ICU Ventilator User Manual...
  • Page 51 12. Connectors: sensor and pressure monitor 13. Expiratory valve: breathing module 14. Inspiratory valve: breathing module 15. inlet: from ventilator control unit 16. Inlet: breathing module: fresh gas supply 17. Drive gas inlet: ventilator ESO 2 ICU Ventilator User Manual...
  • Page 52 When the bellows is fully inflated, any redundant drive gas leaves the system through the diaphragm (6). If the pressure falls below the required PEEP value, the exhaust valve will close and the fresh gas supplied will increase the pressure maintaining PEEP. ESO 2 ICU Ventilator User Manual...
  • Page 53 Appendix Pneumatic Flow Diagram 3 to 7 bar 241 kPa (35 psi) 0 - 80 cmH 0 - 90 cmH 100 cmH ESO 2 ICU Ventilator User Manual...
  • Page 54 16. Pressure Relief valve - set to 100 cmH2O 17. Exhaust Port The discharged gas may contaminate the environment. Connect to an AGSS system if available. 18. Bellows drive gas outlet (to bellows assembly) ESO 2 ICU Ventilator User Manual...
  • Page 55 I:E ratio can be set from 1 : 0 .3 to 1 : 4, as these curves are all above the intersection point. Similarly, a ratio of 1:5 cannot be set, as this is below the intersection point. ESO 2 ICU Ventilator User Manual...

  • Page 56: Appendix 5 Spontaneous Mode And Patient Support Modes

    The alarm message will be removed if the patient breathes. If re-triggered, the alarm message will be displayed again, but the audible alarm will remain muted if the mute period is still active. ESO 2 ICU Ventilator User Manual...
  • Page 57 D = Mandatory breath at the end of the trigger window at the set V If the patient makes no effort to breathe during a cycle, a mandatory breath, at the end of the trigger window, will still be delivered at the preset volume and rate. ESO 2 ICU Ventilator User Manual...
  • Page 58 (at the set V If the patient makes no effort to breathe during a cycle, a mandatory breath, at the end of the trigger window, will still be delivered at the preset volume and rate ESO 2 ICU Ventilator User Manual...
  • Page 59 If the patient makes no attempt to breathe, the ventilator will not provide support and the apnoea 2. The trigger setting is adjustable between 0.7 and 4.0 L/ alarm will be activated min. ESO 2 ICU Ventilator User Manual...
  • Page 60 ESO 2 ICU Ventilator User Manual...

  • Page 61: Appendix 6 Specification

    Range: 0 - 50 L High Minute Volume Calculated value exceeds 150% of volume set. Range: 1 - 75 L Low and High O2 Concentration 18% - 105% High Airway Pressure 10 - 80 cmH2O adjustable ESO 2 ICU Ventilator User Manual...

  • Page 62: Functional

    The ventilator is designed for use with Spirometry ON. Accuracy with Spirometry OFF may vary from the figures given above High airway pressure limit ±5 cmH2O Rate (bpm) ±10% Sigh Tidal volume + (50±5%) ESO 2 ICU Ventilator User Manual...

  • Page 63: Advanced Spontaneous Breathing Modes (Simv, Smmv, Psv)

    Breathing module inspiratory and Flow expiratory non-return valves (L/min) Pressure drop across the inspiratory and expiratory non-return valves at an air flow of 60 L/min: 0.1 kPa (1 cmH2O). Pressure (kPa) 0.02 0.04 0.06 0.08 0.10 ESO 2 ICU Ventilator User Manual...

  • Page 64: Device Classification And Labelling

    The ventilator meets the requirements of BS EN 60601-1-2. Medical electrical equipment. General requirements for safety. Collateral standard. Electromagnetic compatibility. Requirements and tests. MRI compatibility: The ESO 2 is not suitable for use in an MRI environment. Device Classification and Labelling Power supply...

  • Page 65: Oxygen Monitor

    The sensor measures O2 partial pressure, and its output will rise and fall due to pressure change (e.g. changes in barometric pressure, or breathing system pressure). An increase in pressure of 10% at the sensor inlet will produce a 10% increase in sensor output. NOTE Altitude compensation is automatically applied during calibration. ESO 2 ICU Ventilator User Manual...

  • Page 66: Appendix 7 On-Screen Menus

    APNOEA ALARM LIMIT: 15 secs 15 - 180 (Integer) ALARM VOLUME: 100% 50 - 100% (Integer) BACK LIGHT LEVEL : 0 - 100% (Integer) Gas mixture: O2+Air O2+AIR O2+N2O Service Menu - see next page ESO 2 ICU Ventilator User Manual...
  • Page 67 *The values listed for site defaults are examples LIMIT : 38 cmH2O **Sub-menus for Service PIN and Engineer Menu are not TRIGGER : 10 L/min accessible by users. APNOEA ALARM LIMIT : 15 sec ESO 2 ICU Ventilator User Manual...

  • Page 68: Appendix 8 Symbols

    Menu Do not sit Rotation (controls output) Do not stand on Wear a face mask Do not push against the machine Wear a face shield Auxiliary gas outlet Wear eye protection Wear protective gloves ESO 2 ICU Ventilator User Manual...

  • Page 69: Appendix 9 References

    Connects the ventilator control unit to the remote display Guidance and manufacturer’s declaration – electromagnetic emissions The ESO 2 ventilator is intended for use in the electromagnetic environment specified below. The customer or user should assure that it is used in such an environment. Required test...
  • Page 70 70% UT (30% dip in UT) for 25/30 cycles 0% UT (100% dip in UT) for 250/300 cycles 0% UT (100% dip in UT) for 250/300 cycles Power frequency (50 Hz) 30 A/m 30 A/m Magnetic field IEC 61000-4-8 ESO 2 ICU Ventilator User Manual...
  • Page 72 Like us at facebook .com/PenlonGlobal Follow us at twitter .com/PenlonGlobal 5009456 ESO2-en C © Penlon Ltd. 2020 All rights reserved. Penlon and InterMed are trademarks of Penlon Limited. Part of the InterMed Group All other trademarks are the property of their respective owners.

Table of Contents