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™ User Manual Patent Pending High-Frequency Percussive Ventilator (HFPV) This device is NOT an oscillator, NOT a jet (HFJV) And NOT a Conventional Ventilator...
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First Printing May 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®.
Chapter 1: Introduction This chapter provides an overview of the TXP 5 emergency high-frequency ventilator. ™ Numbers for reference only High-Frequency Percussive Ventilation High-Frequency Percussive Ventilation (HFPV) can be lifesaving for patients with fragile, congested, or stiff lungs weakened by barotrauma or infection. HFPV is a solution that requires neither the pressure of mechanical ventilation nor the breathing action of the patient.
Phasitron® Breathing Circuit A50606-TXP Inhalation port Exhalation port 4 x amplification if needed Patient Air/Oxygen inlet Venturi as “clutch” mechanism Effects of HFPV Ventilation & Oxygenation Mobilization of Lung Airway Secretions Recruitment The effects of HFPV occur with or without the cooperation of the patient. HFPV provides a sub-tidal gas exchange within the respiratory bronchioles with associated alveolar recruitment maintaining a minimal mean intrathoracic expiratory pressure increase for peripheral lung stabilization.
Document Symbols Type BF Applied Part WARNING CAUTION Single Patient Use Read the manual Prescription Only before use CE marking Catalog Number Lot Number Manufacturer European Manufacture Date Representative Non-Sterile Not Made with STERILE LATEX Natural Rubber Latex Does Not Contain the Phthalate DEHP DIBP...
™ Percussionaire®-authorized service personnel. Maintain and service the TXP 5 device according to ™ the recommendations provided in this manual. Only use Percussionaire® accessories explicitly designed for use with the TXP 5 device. ™ Malfunctions If the TXP 5 malfunctions, it should not be utilized ™...
Chapter 2: Intended Use Indications for Use The TXP 5 is designed for emergency ventilation of adult, pediatric, or neonatal patients. ™ The device is intended for hospital or pre-hospital use, emergency care, intra-hospital, and external hospital transport. The TXP 5 is intended for use under the ™...
Clinical Limitations/Restrictions Use of the TXP 5 is limited to qualified individuals who have received training. ™ WARNING: Suctioning should be performed as necessary; pulmonary alveoli cannot be ventilated when airways are obstructed. WARNING: When used, a clinician must be present so that a one-to-one relationship exists.
Chapter 3: System Description The TXP 5 ventilator provides high-frequency percussive ventilation (HFPV) as the ™ patient breathes through the Phasitron® breathing circuit. Displays the alarm settings, MAP, pulse frequency Controls the rate, and pulse high-frequency rate amplitude Selects menu and silences alarms Determines the pressure amplitude...
Control Knob Use the control knob to select menus and silence alarms. Tubing Connectors Connect the Phasitron® breathing circuit easily by inserting the tubing connectors into the bulkhead fittings. CAUTION: Ensure the connection is straight to prevent crimping the O-ring and causing a leak. Digital Multimeter (DMA) The DMA treatment screen displays Amplitude, Mean Airway Pressure, Frequency, alarm high and...
Treatment Screen Once POST is complete, the treatment screen is displayed. The treatment screen displays several menu options. Turn the knob until the desired menu option highlights. Push the knob to select. Mean Airway Pressure (MAP) Range 0-99 cmH₂O Alarm high and low settings Amplitude (peak to trough)
Power Off Highlight POWER OFF by turning the control knob. Push the control knob to select. System Information Turn the control knob to highlight SYSTEM INFORMATION. Push the control knob to select. A popup will appear displaying system information. Turn the control knob to highlight EXIT to return to the treatment screen.
Exit Menu Turn the control knob to highlight EXIT MENU. Push the control knob to select and return to the treatment screen. Volume Turn the control knob to highlight the volume icon on the treatment screen. Push the control knob to select. A popup will appear displaying volume options.
Chapter 4: Alarms Alarm Settings Turn the control knob to highlight the alarm icon. Push the control knob to select. An alarm popup will appear. Turn the control knob to highlight the value to be changed. Push to select. Turn the control knob to raise or lower the alarm value.
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When satisfied with the new alarm settings, turn the control knob to highlight the CONFIRM button. Push to select. This will return the user to the treatment screen. Highlight and select EXIT to return to the treatment screen without updating or changing alarm settings.
Alarm Conditions High Priority A high priority alarm will alert at 1 second. During a high alarm event, the LED flashes and a high priority alarm tone will sound. Pushing the control knob acknowledges and silences the alarm, but the visual flashing LED continues until the alarm condition resolves.
Medium Priority Battery Low A low battery medium priority alarm will alert at 10% remaining battery power. During this medium alarm event, the LED flashes and a medium priority alarm tone will sound. The alarm can be silenced, but the visual flashing LED continues until the alarm condition is resolved.
Chapter 5: Setup Controller and Stand Pole stand supplied separately. DISS Gas Connection Blended Gas/Air Connection Connect the ventilator to hospital wall gas/air, blended gas, oxygen cylinders, or a mobile compressor.
Mounting to Pole/Post Mounting to Pole/Post Mounting to Pole/Post Mounting to Pole/Post Adjusting Clamp Range and Tension Adjusting Clamp Range and Tension Adjusting Clamp Range and Tension Adjusting Clamp Range and Tension Mounting to Rail Mounting to Rail Mounting to Rail Mounting to Rail DU-PRC-0003-01 Rev A 6/4/19 GCX Corp.
Phasitron® A50606-TXP Assembly Filter The Phasitron® A50606-TXP is the mechanical/physiological breathing circuit interface. The Phasitron® has a sliding venturi that acts as both the inhalation and exhalation valve. Connect clear tubing connector (A) to white cap on rear of Phasitron® (B). Connect red tubing connector (C) to front measuring port on Phasitron®...
Configurations The Phasitron® A50606-TXP kit can be used invasively or non-invasively using standard endotracheal tubes or mask. Intubated Patient with Phasitron® Supplemental oxygen can be added after filter. Standard Circuit Recommended HME/HMEF bacterial/viral filter with an efficiency of > 99.999% and 2 cmH₂O or less flow resistance at 60 L/min.
Chapter 6: Pre-Use Check Rotate the Frequency knob to full clockwise position. Rotate the Amplitude knob to full clockwise position. Connect TXP 5 to 50-80 psi gas supply source. ™ Connect the Phasitron® to the TXP 5 red and silver bulkhead fittings. ™...
Chapter 7: Ventilation Settings Standard Circuit Initial Settings Set Frequency by turning arrow straight up (rate of 500 +/- 25). Attach Phasitron® to patient hospital approved HMEF. Start with Amplitude control knob turned full clockwise (right). Slowly turn Amplitude control knob counterclockwise (left), until patient’s chest is observed to be moving (wiggle).
Adjustment Options: Standard Circuit with Optional PEEP Valve and Inspiratory Valve Increase pO₂ and Decrease CO₂ • Increase Amplitude in steps of 2-4 cmH₂O. Watch for increase in MAP. Increase O₂ if CO₂ is OK • If the device is plugged into an O₂ outlet, the delivered FiO₂ will be 60%. •...
Patient Monitoring Clinicians should evaluate how their patients tolerate the ventilation. Auscultation and observation of the mechanical vibrations of the chest and abdomen are primary indicators of effective treatment. During HFPV, it is vital to maintain an unobstructed and unrestricted airway.
Oxygenation Control over arterial pO₂ is achieved by manipulating FiO₂ or increasing the Mean Airway Pressure. The following will increase FiO₂ and/or Mean Airway Pressure, increasing arterial pO₂. Increase Oxygenation Increase FiO₂ Connect the unit to a blended air/O₂ system, and an accessory PEEP valve kit (PRT606).
Chapter 8: Cleaning and Maintenance Cleaning NOTE: All single-patient use components and Phasitron® are not intended for cleaning, sterilization, or re-use. Replace single-patient use components regularly, following your healthcare institution’s protocol. Before cleaning any part of the TXP 5, disconnect external power sources. ™...
™ external source of power. Over time, the capacity of the battery will diminish. Percussionaire® recommends that you replace the battery when it no longer holds a charge. The internal battery must be replaced by authorized Percussionaire® service technicians or Percussionaire®-certified...
Replace the safety clip. NOTE: Ensure the battery is fully charged before storing the TXP™5. NOTE: Only use batteries provided by Percussionaire®. Do not use batteries from other manufacturers. WARNING: Do not damage the rechargeable lithium-ion battery. A damaged battery may cause an explosion or fire and may result in personal injury and/or property damage.
WARNING: If there are any unexplained changes in the performance of the device, if the device makes unusual sounds or is damaged in any way, discontinue use. Begin troubleshooting process and contact distributor or an authorized Percussionaire® service center. Problem...
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Problem Possible Cause Corrective Action Frequency does not The Frequency knob is loose The Amplitude knob must be on control shaft. change turned fully counterclockwise, to the stop. Remove the Frequency knob with a 3/32” hex key wrench and rotate the valve shaft for a frequency of 200 ppm.
Rate Range Pressure Range 0-99 cmH₂O/hPa Accurate to +/- 1 cmH₂O Pressure Accuracy Battery Percussionaire® part #B21111, Lithium-ion 18650 3.7V Phasitron® A50606-TXP Size 13.5 mm x 17 mm (5 ¼" x 6 ¾") Weight 123 g (0.27 lb) Operating Range Temp., 0°C to 49°C (32°F to 120°F)
< = 1 month -20 to 50 Celsius < = 3 months -10 to 30 Celsius < = 1 year 0 to 30 Celsius Weight 50 g (approximate) NOTE: Only use batteries provided by Percussionaire®. Do not use batteries from other manufacturers.
Batteries carry a 12-month warranty. 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®...