Mechanical Specifications - Nellcor PediCap Manual

4. Do not subject device to extreme humidity, such as a heated
humidifier or nebulizer; excessive humidity will affect device
accuracy.
5. Reflux of gastric contents, mucus, edema fluid, or intratracheal
epinephrine into the PediCap detector can yield persistent patchy
yellow or white discoloration which does not vary with the respiratory
cycle. Contamination of this type may also increase airway
resistance and affect ventilation. Discard device if this occurs.
6. In cardiac arrest, re-establishment of cardiac output and
pulmonary perfusion by adequate CPR is necessary to increase
end-tidal CO to levels detectable by the PediCap detector (above
2
0.5%).
7. The PediCap detector is not a substitute for observation of the
patient. This device must not be relied upon as the sole indicator
of resuscitation performance.

Mechanical Specifications

Internal Volume: 3 cc
Resistance to Flow: 2.5 cm H O ± 0.5 cm at
2
10 L/min flow
Weight: Less than 5 g
Connector Ports: Patient end:
18 mm O.D. /15 mm I.D.
Circuit end:
15 mm O.D. / 5 mm I.D
Nellcor Puritan Bennett and Pedi-Cap are trademarks of Nellcor Puritan Bennett
Incorporated.
Covered by one or more of the following U.S. Patents and foreign equivalents:
4,728,499; 4,879,999; 5,166,075; and 5,179,002.
© 2005 Nellcor Puritan Bennett Incorporated. All rights reserved.
Interpretation
Color Range A
End-Tidal CO level approximately 0.03% to < 0.5%. < 4 mmHg, < 0.5 kPA
2
Color Range B
End-Tidal CO level approximately 0.5% to < 2%. 4 to < 15 mmHg, 0.5–2 kPA
2
Color Range C
End-Tidal CO level approximately 2% to 5%. 15 to 38 mmHg, 2–5 kPA
2
.
4
Pedi-Cap Interpretation in the Presence of Adequate Pulmonary
Blood Flow/Spontaneous Heartbeat:
Color Range A
• .03% – < 0.5% CO *
ET
2
< 4 mmHg
• ET tube not in trachea
• Reinsert tube
• Recheck with Pedi-Cap detector
Pedi-Cap Interpretation in the Presence of Poor Pulmonary
Blood Flow/Cardiac Arrest:
Color Range A
• .03% – < 0.5% CO *
ET
2
< 4 mmHg
• ET tube not in trachea
or
• Inadequate pulmonary blood flow
(ineffective CPR)
• Check if ET tube is through vocal cords
No Yes
• ET tube not in • ET tube in
trachea trachea with
• Reinsert tube inadequate
• Check with perfusion
Pedi-Cap • Take appropriate
clinical action
detector
Color Range B Color Range C
• 0.5% – < 2% CO * • 2% – 5% CO *
ET ET
2 2
4 – < 15 mmHg 15 – 38 mmHg
• Retained CO in • ET tube in trachea
2
esophagus • Secure tube
or • Continue to
• Low perfusion, observe color
hypocarbia change
*At sea level
• Deliver 6 more breaths
• Color remains tan
• ET tube in trachea
with low perfusion
or hypocarbia
Color Range B Color Range C
• 0.5% – < 2% CO * • 2% – 5% CO *
ET ET
2 2
4 – < 15 mmHg 15 – 38 mmHg
• Retained CO in • ET tube in trachea
2
esophagus • Secure tube
or • Continue to observe
• Low pulmonary color change
blood flow
*At sea level
• Deliver 6 more breaths
• Color remains tan
• ET tube in trachea
with low perfuison
5