Weinmann MEDUMAT Standard2 Instructions For Use Manual

Weinmann MEDUMAT Standard2 Instructions For Use Manual

Ventilator
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MEDUMAT Standard
Ventilator
Instructions for Use for Devices from Software Version 5.1

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Summary of Contents for Weinmann MEDUMAT Standard2

  • Page 1 MEDUMAT Standard Ventilator Instructions for Use for Devices from Software Version 5.1...
  • Page 2: Table Of Contents

    Table of Contents Table of Contents Introduction About this document ..............6 Explanation of warning notices ............7 Safety Intended purpose ................8 Requirements for the user ............10 Safety information ............... 10 General instructions ..............20 Description Overview ..................23 Control panel ................
  • Page 3 Table of Contents 4.13 Setting the date and time ............95 4.14 Using the SD card ................ 97 4.15 Unlocking options ............... 99 4.16 Updating the software ............... 102 4.17 Pairing an external data documentation system with the device ® for the first time (via Bluetooth data transmission) ....
  • Page 4 Table of Contents Function check Intervals ..................200 Preparing for the function check ..........200 Performing a function check ............201 Failed function check ..............209 Testing the reusable breathing circuit ........210 Checking the system for leaks ............ 210 Rectifying leaks in the system ............
  • Page 5 Table of Contents 14.4 Scope of supply ................. 261 14.5 Warranty ................... 267 14.6 Declaration of Conformity ............268 MEDUMAT Standard...
  • Page 6: Introduction

    1 Introduction Introduction 1.1 About this document This document describes all possible versions of the device. Functions, accessories and other parts which are described in this document or shown in the images depend on the version purchased and are not always available. If device functions can only be enabled through procurement of a certain option, this is marked in this document by the amendments "(optional)"...
  • Page 7: Explanation Of Warning Notices

    1 Introduction 1.2 Explanation of warning notices Danger! DANGER indicates a hazardous situation that, if not avoided, will result in death or serious injury. Warning! WARNING indicates a hazardous situation that, if not avoided, could result in death or serious injury. Caution! CAUTION indicates a hazardous situation that, if not avoided, could result in minor or moderate injury.
  • Page 8: Safety

    2 Safety Safety The instructions for use form part of the device. If the instructions for use and the following safety information are not fully complied with, the treatment may fail or be compromised. This could cause severe or life-threatening injuries to the patient, user or bystanders. ...
  • Page 9 2 Safety 2.1.3 Intended application areas • Primary care at the site of the emergency, e.g., to resuscitate or induce and maintain anesthesia • Transport between hospital rooms and departments • Transport between the hospital and other sites in an ambulance, ship, airplane or helicopter •...
  • Page 10: Requirements For The User

    2 Safety 2.1.6 Exclusions and restrictions for intended purpose The device is not approved for the following applications: • Operation in hyperbaric chambers • Operation in combination with magnetic resonance scanners (MRT, NMR, NMI) • Ventilation of premature babies (born before the end of the 36th week of pregnancy) •...
  • Page 11 2 Safety Risk of infection if the device is used in a contaminated atmosphere! If the device is used in a contaminated atmosphere, it may suck in contaminated or infected ambient air and harm the patient.  Only operate the device in a contaminated atmosphere with a hygiene filter.
  • Page 12 2 Safety Risk of injury in the event of device failure resulting from blocked suction inlets on the hygiene filter! Blocked suction inlets on the hygiene filter may cause injury to the patient in the event of device failure as a result of excessively high pressures, and may prevent the patient from breathing on his/her own.
  • Page 13 Accessories which are connected to the device may cause an electrical potential in the device. This may lead to an electric shock on contact with the device and result in injury to the user.  Only use accessories from WEINMANN Emergency. MEDUMAT Standard...
  • Page 14 WEINMANN Emergency MODUL range! If the device is used together with devices from the WEINMANN Emergency MODUL range, the flow used by devices from the WEINMANN Emergency MODUL series may cause pressure variations in the device. This can injure the patient.
  • Page 15 The use of a non-original power supply unit may result in injury to the user.  Only operate the device on line power using the power supply unit recommended by WEINMANN Emergency. Risk of injury due to incorrect maintenance of the Li-ion battery! An open, non-original or damaged Li-ion battery can lead to excessive temperatures, fire or explosions.
  • Page 16 2 Safety Notice Material damage due to prolonged storage of the battery without recharging! Storing the battery for a prolonged period of time without recharging can result in the rapid shutdown of and irreparable damage to the battery.  When the battery is stored in the device without a power connection: Charge battery every 3 months.
  • Page 17 2 Safety 2.3.4 Ventilation Warning Risk of injury due to lack of patient monitoring! If the patient is not supervised during ventilation, delayed responses of medical personnel to alarms and error messages may result in serious injuries to the patient. ...
  • Page 18 2 Safety Risk of injury from switching on a device with activated NVG mode during daylight or without a night vision device! A device with activated NVG mode cannot be used straight away during daylight or without a night vision device. This can injure the patient.
  • Page 19 2 Safety Risk of injury if dead space is not taken into consideration! The breathing circuits for the device have different dead spaces. The use of additional accessories between the ventilation hose and patient (e.g., humidifiers, nebulizers and goosenecks) increases the dead space. Failure to take dead space into consideration may lead to insufficient ventilation, especially in the ventilation of infants with very small tidal volumes.
  • Page 20: General Instructions

    2 Safety Risk of injury if oxygen escapes from damaged oxygen cylinders or pressure reducers! Oxygen can escape unchecked from damaged oxygen cylinders or pressure reducers. This may lead to explosions and cause injury to the patient, user and bystanders. ...
  • Page 21 2 Safety • Repairs, servicing and maintenance should only be carried out by the manufacturer, WEINMANN Emergency, or by a technician expressly authorized by WEINMANN Emergency. The device's service and repair instructions are available to the latter; these contain all the information required.
  • Page 22 2 Safety • This device's software contains code which is subject to the General Public License (GPL). You will receive the source code and the GPL upon request. • The software for the FlowCheck sensor connection line with MEDUtrigger/FlowCheck sensor connection line was created with FreeRTOS (www.freertos.org).
  • Page 23: Description

    3 Description Description 3.1 Overview 3-1 Device Designation Description Displays settings and current values Display (see "3.4 Symbols on the display", page 31). Used for servicing purposes. May only be opened Service cover by the manufacturer or persons authorized by the manufacturer.
  • Page 24 3 Description Designation Description Filter compartment Houses the hygiene filter. Battery compartment with battery Houses the battery. Power supply connection Connects the device to the power supply. Used for connecting the oxygen supply Compressed gas connection (e.g., an oxygen cylinder). SD card slot For inserting an SD card.
  • Page 25: Control Panel

    3 Description 3.2 Control panel 3-2 Controls Designation Description • Steady green light: Indicates that the device is connected to line power. • Not illuminated: The device is operating on Line power indicator battery power and not on line power. The device is in NVG mode.
  • Page 26 3 Description Designation Description • Pressing the button briefly (< 1 s) mutes the alarm for 120 s. Alarm mute button • Keeping the button depressed (≥ 1 s) opens the alarm limit menu. • In the start menu: Provides access to the operator menu. Menu button •...
  • Page 27: Display

    3 Description 3.3 Display 3.3.1 Start menu 3-3 Start menu display Designation Description Battery status Displays the charge level of the battery. Indicates whether the audio alarm output is active Alarm or has been muted. Time Displays the current time. 100 % O Indicates whether operation with 100 % oxygen or Air Mix...
  • Page 28 3 Description 3.3.2 Ventilation mode (example) 3-4 Display in the views 1 (pressure, CO curve) (top left), 2 (pressure gauge, measurements) (top right), 3 (etCO trend) (center left), 4 (pressure, flow curve) (center right), 5 (CPR CCSV) (bottom left), 6 (pressure curve, measurements) (bottom right) MEDUMAT Standard...
  • Page 29 3 Description Designation Description • Indicates ventilation pressure progress. • Indicates pMax as a dotted line. • Indicates the currently attuning airway pressure as a green area. Pressure gauge • Indicates the maximum airway pressure in the middle. • Indicates the end-tidal CO concentration (etCO in the middle (only with Capnography option).
  • Page 30 3 Description Designation Description • Indicates the total respiratory rate. • Indicates the number of spontaneous breaths Respiratory rate (f(fsp)) (only with Flow measurement + ASB option) per minute. • Indicates the associated upper alarm limit. • Displays whether manual or automatic chest compression is set.
  • Page 31: Symbols On The Display

    3 Description 3.4 Symbols on the display Symbol Designation Description Audio alarm output active Audio alarm output muted for 120 s Alarm symbol (with the exception of an alarm at a supply pressure < 2.7 bar) Audio alarm output permanently muted (NVG mode only) Battery status >...
  • Page 32 3 Description Symbol Designation Description Device is ready for use Device is not ready for use Function check symbol Fault found during function check Observe the instructions for use Repair necessary Metronome sound in CPR mode is switched on Metronome sound in CPR mode is switched off Period during which the device is in CPR mode Ventilation mode symbols Period during which the device is in RSI mode...
  • Page 33: Components

    3 Description Symbol Designation Description Manual chest compression Operation with manual chest compression Automatic chest Operation with chest compression device compression 3.5 Components 3.5.1 Overview 3-5 Components MEDUMAT Standard...
  • Page 34 3 Description Designation Description FlowCheck sensor connection line Connects MEDUtrigger and the FlowCheck sensor to with MEDUtrigger the device. FlowCheck sensor connection line Connects the FlowCheck sensor to the device. Inhalation adapter Facilitates inhalation. Ventilation mask Connects the breathing circuit to the patient. Protects the device from viral and bacterial Hygiene filter contamination.
  • Page 35 3 Description 3.5.2 Reusable breathing circuit and disposable breathing circuit 17 16 * Optional components 3-6 Reusable breathing circuit (top) and disposable breathing circuit (bottom) MEDUMAT Standard...
  • Page 36 3 Description Designation Description Service label (only with reusable Indicates the date when the next maintenance is due. breathing circuit) Protective sleeve (only with reusable Protects the ventilation hose against dirt and damage. breathing circuit) • Fixes the breathing circuit to the patient's clothing.
  • Page 37 3 Description Designation Description The device measures the patient's vital parameters via the measuring circuit. The measuring circuit comprises: • Measuring circuit connector Measuring circuit • PEEP control tube • Pressure measuring tube • measuring tube (only with Capnography option) The water filter protects the measuring chamber of Water filter (only with Capnography the device against moisture and contamination from...
  • Page 38 3 Description Designation Description Due to the check valve diaphragm, the respiratory Check valve diaphragm gas only flows towards the patient. No rebreathing takes place. Connects the patient valve to the ventilation hose Holder for check valve diaphragm and contains the check valve diaphragm. 3.5.4 Disposable breathing circuit with reduced dead space 3-8 Disposable breathing circuit with reduced dead space...
  • Page 39 3 Description Designation Description Patient valve Switches between inspiration and expiration. Connects MEDUtrigger and the FlowCheck sensor to FlowCheck sensor connection line the device. Alternatively, you can also connect the with MEDUtrigger (only with Flow FlowCheck sensor connection line or the connection measurement + ASB option) line of MEDUtrigger here.
  • Page 40: Accessories

    3 Description Designation Description Keeps the hoses/tubes and the connection line Hose clip together. The respiratory gas flows from the device to the Ventilation hose patient valve through the ventilation hose. 3.6 Accessories 3-9 Accessories Designation Description Charging station Facilitates external battery charging. Used for reading session data and service data and SD card updating the device software.
  • Page 41: Options

    90). FlowCheck sensor Measures the flow to the patient and to the device. Simulates a ventilated patient for presentation EasyLung for WEINMANN Emergency purposes and during a function check. Power supply unit Supplies power to the device. Serves to ensure that the respiratory air is filtered Breathing system filter and conditioned.
  • Page 42 3 Description Symbol Description CE mark (confirms that the device complies with the applicable European directives) Unique Device Identifier - UDI: Enables unambiguous identification of specific (xx)xxxxxxxxxxxxxx (xx)xxxxx medical devices on the market Medical device Importer Dealer Compatible devices Observe the instructions for use. Follow the instructions for use.
  • Page 43 3 Description Symbol Description Protect the device against moisture. Fragile Expiration date Latex-free Latex Do not dispose of device in household waste. Do not dispose of battery in household waste. Type BF applied part Direct voltage Type of protection against electric shock: Protection class II device Degree of protection against: •...
  • Page 44 3 Description Symbol Description Battery status Battery clicks audibly into place Indicates the correct installation direction of the PEEP control diaphragm. Date stamp for year and month Indicates the date when the next maintenance is due (position: on the service label). Indicates the correct flow direction during inspiration.
  • Page 45: Preparation And Operation

    4 Preparation and operation Preparation and operation 4.1 Mounting the device The device is mounted on a portable unit as standard and is ready for use. Observe the instructions for use of the portable units. 4.2 Connecting to a power supply Loss of power due to combination of the device with an incorrect power supply unit! If you use a portable unit with the device combination...
  • Page 46: Using The Rechargeable Battery

    4 Preparation and operation 4. If necessary: If operating on the portable unit, mount the portable unit on a wall mounting with charging interface. Connect the device to the power supply unit using the charging adapter (WM 28979) and the 100 W line power. Connect the device up to the vehicle's electrical system with the charging adapter (WM 28979) and 12 V cable.
  • Page 47 4 Preparation and operation 1. Insert battery into the battery compartment. Charging starts automatically if the following conditions are met: • External supply of at least 10 V is connected • Battery is not yet fully charged (< 95 % charge level) •...
  • Page 48 4 Preparation and operation 4.3.4 Battery status indicator Battery You can see the battery status on the battery itself. The battery status is indicated by 4 green status LEDs. Simply press the status button on the battery. Fault indicator Status LEDs Status button 4-1 Status indicator on the battery Status indicator...
  • Page 49 4 Preparation and operation Status indicator Explanation Meaning 1 LED is flashing Battery status < 10 % Battery is deeply discharged. Charge battery in the device for 24 hours. After 24 hours: • Green LED is lit: Battery fully charged and ready No LEDs are lit for use.
  • Page 50 4 Preparation and operation Status indicator Meaning Battery almost empty The message Battery almost empty appears in the display. The device can still be used for approx. 15 minutes. A timer in the alarm field counts down the time until the device switches off. •...
  • Page 51: Connecting Components

    4 Preparation and operation 4.4 Connecting components 4.4.1 Inserting the hygiene filter 1. Check the hygiene filter for external damage. If necessary: Replace the hygiene filter. 2. With the filter side facing forwards, slide the hygiene filter into the device's filter compartment until the hygiene filter is flush with the device.
  • Page 52 4 Preparation and operation 1. Connect the ventilation hose to the ventilation hose connection. 2. Connect the measuring circuit connector to the connection for the measuring circuit. 3. If necessary: Connect the FlowCheck sensor (see "4.4.3 Connecting the FlowCheck sensor", page 54).
  • Page 53 4 Preparation and operation 6. In case of endotracheal tube ventilation: Following intubation, attach the patient valve of the breathing circuit to the endotracheal tube: • with/without elbow • with/without breathing system filter In the case of mask ventilation: Attach the ventilation mask to the patient valve of the breathing circuit: •...
  • Page 54 4 Preparation and operation 4.4.3 Connecting the FlowCheck sensor The FlowCheck sensor enables flow measurement (only with Flow measurement + ASB option). 1. Connect the connector of one of the following connection lines to the accessories connection on the device: •...
  • Page 55 4 Preparation and operation Risk of injury from touching the contacts on the FlowCheck sensor connection line/FlowCheck sensor connection line with MEDUtrigger and the patient at the same time! The contacts on the FlowCheck sensor connection line/FlowCheck sensor connection line with MEDUtrigger are live. Touching the contacts and the patient at the same time can injure the user or the patient.
  • Page 56 4 Preparation and operation 6. If necessary: On connecting one of the two connection lines to the device, perform a function check (see "9.3 Performing a function check", page 201) to update the connection line software. Result The FlowCheck sensor is connected to the device and is ready for use.
  • Page 57 4 Preparation and operation 3. With the reusable breathing circuit: Connect the connector with CO connection: • to the patient valve • to the FlowCheck sensor 4. With the reusable breathing circuit: Connect the CO measuring tube to the connector with CO connection.
  • Page 58 4 Preparation and operation To minimize the dead space, you can also connect the CO measuring tube to a breathing system filter with gas connection (e.g., WM 22162). 6. With the reusable breathing circuit: Guide the CO measuring tube with the rest of the measuring circuit and ventilation hose into the protective sleeve of the breathing circuit.
  • Page 59 4 Preparation and operation 1. Connect the connector of one of the following connection lines to the accessories connection on the device: • Connection line of MEDUtrigger • FlowCheck sensor connection line with MEDUtrigger 2. If necessary: Connect the FlowCheck sensor connector of the FlowCheck sensor connection line with MEDUtrigger to the FlowCheck sensor (see "4.4.3 Connecting the FlowCheck...
  • Page 60 4 Preparation and operation 3. Place MEDUtrigger between the mask and the following end of the breathing circuit closest to the patient: • Patient valve • FlowCheck sensor • Connector with CO connection • Elbow If you use a breathing system filter, always place MEDUtrigger between the mask and the breathing system filter.
  • Page 61 4 Preparation and operation 4. With the reusable breathing circuit: Guide the connection line with measuring circuit and ventilation hose into the protective sleeve of the breathing circuit. 5. If necessary: Activate MEDUtrigger option (see "6.3.9 Options", page 138). Result MEDUtrigger is connected to the device and is ready for use.
  • Page 62 4 Preparation and operation 3. Perform inhalation (see "4.7.7 Performing inhalation (only with Inhalation option)", page 75). Result Inhalation via the inhalation adapter is prepared. 4.4.7 Connecting the etCO nasal cannula 1. Position the etCO nasal cannula. 2. If necessary: Fix the tubes of the etCO nasal cannula to the face using adhesive plasters.
  • Page 63 4 Preparation and operation 4.4.8 Connecting the nebulizer Only use the device in combination with the following nebulizer: • Pneumatic medication nebulizer WM 15827 1 ® • Aerogen Solo (Aerogen Ltd.) 2 • Tube Inhaler (VBM Medizintechnik GmbH) 3 Risk of injury due to erroneous readings! If the filter is installed incorrectly or no filter is used, the membrane may stick in the patient valve or the FlowCheck sensor could return erroneous readings, which can cause injury to the patient.
  • Page 64: Switching The Device On

    4 Preparation and operation 2. Connect the open end of the nebulizer 1, 2 or 3 with the filter 7 (breathing system filter, bacteria filter or a combined breathing system/bacteria filter). 3. Place the filter 7 (breathing system filter, bacteria filter or a combined breathing system/bacteria filter) on the breathing circuit's FlowCheck sensor 8.
  • Page 65: Switching The Device Off

    4 Preparation and operation If you switch the device on in NVG mode, the following displays are deactivated: • Alarm light • Line power indicator • Battery status indicator • Audio alarm output The start screen with the selected NVG brightness appears (see "6.3.7 Device configuration", page 129).
  • Page 66: Ventilating The Patient

    4 Preparation and operation 4.7 Ventilating the patient 4.7.1 Selecting the emergency mode from the start menu Requirement The device is switched off. 1. Switch on the device. After the self-test, the device displays the start menu: If the device was switched off for < 30 seconds (e.g., for a battery replacement), a countdown in the Previous patient field counts down 20 seconds.
  • Page 67 4 Preparation and operation Depending on the preset in the operator menu, the device switches to one of the following modes with the ventilation parameters preset for the patient group (see "14.1.10 Factory settings for emergency modes and ventilation modes", page 257) and shows a pressure gauge view: •...
  • Page 68 4 Preparation and operation 2. Select the Previous patient field. Allow the countdown to run. 3. If necessary: Adjust the settings of the last patient and confirm. Result The ventilation mode, ventilation parameters and the view of the last ventilated patient are loaded. MEDUMAT Standard...
  • Page 69 4 Preparation and operation 4.7.3 Selecting a ventilation mode for a new patient Requirement The device is switched off. 1. Switch on the device. After the self-test, the device displays the start menu: If the device was switched off for < 30 seconds (e.g., for a battery replacement), a countdown in the Previous patient field counts down 20 seconds.
  • Page 70 4 Preparation and operation 3. Select the height and gender: The height is given in 5 cm increments between 50 cm and 250 cm (see "14.2 Calculation of body weight on the basis of body height", page 258). Navigate to the field Height and turn the navigation knob further to select the desired patient group: •...
  • Page 71 4 Preparation and operation • Child • Infant 4. Press the navigation knob next. 5. Select a ventilation mode. 6. If necessary: Set the parameters of the ventilation mode. MEDUMAT Standard...
  • Page 72 4 Preparation and operation 7. Select the start field. Result A ventilation mode for a new patient has been set. If the Curve display option is activated, the device shows a curve view. 4.7.4 Selecting an emergency mode from a ventilation mode Requirement •...
  • Page 73 4 Preparation and operation Depending on the preset in the operator menu, the device switches to one of the following modes with the ventilation parameters preset for the patient group (see "14.1.10 Factory settings for emergency modes and ventilation modes", page 257) and shows a pressure gauge view: •...
  • Page 74 4 Preparation and operation 4. If necessary: Set the parameters of the ventilation mode. 5. Select the start field. Result The ventilation mode is changed. 4.7.6 Operating the device in oxygen or Air Mix mode Requirement • The device is switched on. •...
  • Page 75 4 Preparation and operation Oxygen mode is activated as standard for all emergency modes. Result The device is operated in oxygen or Air Mix mode. 4.7.7 Performing inhalation (only with Inhalation option) Using a nebulizer prevents treatment in Inhalation mode! The device is not suitable for nebulizers in inhalation mode.
  • Page 76 4 Preparation and operation 3. Select the Inhalation field using the left-hand navigation knob. The device switches to Inhalation mode. 4. Select flow for inhalation using the right-hand navigation knob. Result The inhalation is carried out. MEDUMAT Standard...
  • Page 77 4 Preparation and operation 4.7.8 Performing CO monitoring (only with Capnography option) Requirement • The device is switched on. • monitoring was set as the ventilation mode for a new patient (see "4.7.3 Selecting a ventilation mode for a new patient", page 69).
  • Page 78 4 Preparation and operation 4.7.9 Performing ventilation in CPR Manual mode In CPR Manual mode, you determine the respiratory rate administered yourself. Using MEDUtrigger, you manually trigger individual mechanical breaths with the set tidal volume. Delay in treatment due to simultaneous metronome outputs from the ventilator and the defibrillator! If the ventilator is used together with a defibrillator (MEDUCORE Standard or MEDUCORE Standard...
  • Page 79 4 Preparation and operation Change to CCSV or IPPV (see "4.7.12 Changing the ventilation mode in CPR mode", page 84) with the right navigation knob. After exiting the CPR mode, the device always switches to IPPV mode. Result Ventilation is carried out in CPR Manual mode. 4.7.10 Performing ventilation in CPR IPPV mode Delay in treatment due to simultaneous metronome outputs from the ventilator and the defibrillator!
  • Page 80 4 Preparation and operation After exiting the CPR mode, the device always switches to IPPV mode. Result Ventilation is carried out in CPR IPPV mode. Pausing ventilation in CPR IPPV mode During the analysis of the defibrillator, you can pause ventilation in order to avoid artifacts in the analysis.
  • Page 81 4 Preparation and operation 3. To start continuous ventilation again: Press the field twice. Result Ventilation pauses. When the countdown reaches zero, ventilation automatically restarts. 4.7.11 Performing ventilation in CPR CCSV mode Delay in treatment due to simultaneous metronome outputs from the ventilator and the defibrillator! If the ventilator is used together with a defibrillator (MEDUCORE Standard or MEDUCORE Standard...
  • Page 82 4 Preparation and operation Treatment delays due to triggered alarms for spontaneously breathing patients which do not apply in the this application scenario! In CPR CCSV mode, triggered etCO alarms can confuse the user and result in delays in treatment. ...
  • Page 83 4 Preparation and operation 3. If you want chest compressions to be carried out automatically: Switch to using the middle navigation knob. If you want chest compressions to be carried out manually: Switch to using the middle navigation knob. 4. If you want mechanical breaths to be triggered in the phase during which no chest compression is carried out: Increase the trigger level and/or reduce PEEP.
  • Page 84 4 Preparation and operation If the trigger is still not functioning properly in CPR CCSV mode in spite of reducing the trigger and increasing the PEEP, you can switch from CPR CCSV mode to CPR IPPV mode (see "4.7.12 Changing the ventilation mode in CPR mode", page 84).
  • Page 85 4 Preparation and operation 1. Select the CPR mode field using the right-hand navigation knob. 2. To change the mode, switch between the Manual, CCSV and IPPV fields using the right-hand navigation knob. Result The required CPR mode is set. MEDUMAT Standard...
  • Page 86 4 Preparation and operation 4.7.13 Performing ventilation in RSI mode Requirement • The device is switched on. • MEDUtrigger is connected to the device. • RSI was set as the ventilation mode for a new patient (see "4.7.3 Selecting a ventilation mode for a new patient", page 69).
  • Page 87 4 Preparation and operation 2. For the Manual function switch to the Manual field using the right-hand navigation knob. To enable the selection of the Manual function, a MEDUtrigger must be connected and activated in the operator menu. Otherwise, this function will not be displayed. 3.
  • Page 88: Monitoring The Patient

    4 Preparation and operation Depending on the preset in the operator menu, the device switches to one of the following modes with the ventilation parameters preset for the patient group (see "14.1.10 Factory settings for emergency modes and ventilation modes", page 257): •...
  • Page 89: Audio Alarm Output

    4 Preparation and operation Ventilation progress before and after a reduction in compliance Pressure mbar pMax pInsp Time 4-3 Ventilation progress before and after a reduction in compliance (during volume-controlled ventilation) 4.9 Audio alarm output 4.9.1 Muting the audio alarm output Requirement An alarm is active and is audible.
  • Page 90: Transporting The Device

    4 Preparation and operation 4.10 Transporting the device 4-4 Transport on a portable unit You can transport the device in the following ways: • On the portable unit LIFE-BASE 1 NG XL (1) • On the portable unit LIFE-BASE 3 NG (2) •...
  • Page 91: Feeding In Oxygen

    4 Preparation and operation 4.11 Feeding in oxygen 4.11.1 Connecting an oxygen supply Risk of injury posed by the combination of highly compressed oxygen and hydrocarbon compounds! When combined with highly compressed oxygen, hydrocarbon compounds (e.g., oil, grease, cleaning alcohols, hand cream or adhesive plasters) can cause explosions and injuries to the patient, user and bystanders.
  • Page 92 4 Preparation and operation 1. Briefly open and then close the valve of the oxygen cylinder in order to blow away any particles of dust. 2. Connect a pressure reducer to the valve of the oxygen cylinder with a knurled union nut and tighten it by hand. 3.
  • Page 93 4 Preparation and operation 4.11.2 Removing the oxygen supply 1. Close the valve on the oxygen cylinder. 2. Briefly press the On/Off button and operate the device without an oxygen supply. The remaining oxygen is flushed out of the device. 3.
  • Page 94: After Use

    4 Preparation and operation Air Mix operation: Oxygen supply (I) x 2 Time (min)= Vt (l) x f (min ) + 0.3 l/min Example Oxygen supply 2000 l 500 ml 12 min 634 min = 10 h 34 min Time 63 min per liter of cylinder volume Result The operating time has been calculated.
  • Page 95: Setting The Date And Time

    4 Preparation and operation 4.13 Setting the date and time Requirement • The device is switched on. • The start menu is on the display. 1. Briefly press the menu button 2. Select the field using the left-hand navigation knob. 3.
  • Page 96 4 Preparation and operation 4. Select the parameters for the date and time. 5. Select the back field. 6. Select the back field. Result The date and time are set. MEDUMAT Standard...
  • Page 97: Using The Sd Card

    4.14 Using the SD card 4.14.1 Inserting an SD card Loss of data due to incorrect SD card! SD cards not purchased from WEINMANN Emergency may have reduced functionality or result in the loss of data.  Only use SD cards from WEINMANN Emergency.
  • Page 98 4 Preparation and operation 4.14.2 Removing the SD card Requirement An SD card is in the SD card slot. 1. Open the splash guard of the SD card slot. Incorrect handling may result in loss of data or damage to the device! If you remove the SD card whilst exporting service data or updating the software of the device, data may be lost or the...
  • Page 99: Unlocking Options

    4 Preparation and operation 4.15 Unlocking options Requirement • The operator menu has been called up (see "6.1 Navigating the operator menu", page 120). • The latest software version is installed on the device (see "4.16 Updating the software", page 102).
  • Page 100 4 Preparation and operation 3. Turn the right-hand navigation knob to enter the first digit of the enable code. 4. Press the navigation knob next to confirm the first digit of the enable code. 5. Enter the other digits of the enable code in the same way. 6.
  • Page 101 4 Preparation and operation The device uses a green checkmark to display whether the input enable code is correct and changes the color of the option as per the color scale shown above. When doing so, note: • Prerequisite for enabling the Curve display option: Flow measurement + ASB option is enabled.
  • Page 102: Updating The Software

    120). 1. If necessary: Download the software from the Login area of the WEINMANN Emergency website to the SD card. 2. If the software is available as a ZIP file: Unzip the software. The software is available in the folder as a file named WM28981-x.x.hex.
  • Page 103 4 Preparation and operation 5. Select Software update. Damage to the device caused by moving the device and/or pressing buttons during the update! Moving the device and/or pressing buttons during the update may cancel the update and damage the device. ...
  • Page 104: Pairing An External Data Documentation System With The Device For The First Time (Via Bluetooth ® Data Transmission)

    4 Preparation and operation 12. Switch off the device (see "4.6 Switching the device off", page 65). Result The software has been updated. The update.txt file is saved to the SD card in the device as soon as the software update is complete. The file contains information on the software update just carried out.
  • Page 105 4 Preparation and operation 3. Send a pairing request to the device via the external data documentation system. ® 4. If necessary: Enter the device's Bluetooth PIN in the external data documentation system. ® Information on the Bluetooth pin can be found in the Operator menu | Device information (see "6.3.1 Device information", page...
  • Page 106: Using The Simulation Mode

    4 Preparation and operation 4.18 Using the simulation mode The device features a simulation mode with which settings can be simulated. Risk of injury from confusing simulation mode with the device's normal mode! The only difference between the two modes are the words Simulation Mode! on the display, so it is easy to confuse the two if overlooked.
  • Page 107 4 Preparation and operation 2. Simulate settings. 3. To end the simulation mode: Switch the device off and restart. Result Simulation mode is used. MEDUMAT Standard...
  • Page 108: User Menu

    5 User menu User menu 5.1 Navigating the user menu Requirement A ventilation mode is set. 1. Briefly press the menu button 2. To select a submenu, turn one of the three navigation knobs. 3. To confirm the settings, press one of the three navigation knobs.
  • Page 109: Structure Of The User Menu

    5 User menu 5.2 Structure of the user menu Mode IPPV BiLevel + ASB CPAP CPAP + ASB aPCV PRVC + ASB SIMV SIMV + ASB RSI Demand S-IPPV RSI Man. RSI IPPV CPR Man. Demand CPR CCSV Inhalation CPR IPPV monitoring Activating automatic limits Alarm limits...
  • Page 110: Settings In The User Menu

    5 User menu 5.3 Settings in the user menu 5.3.1 Mode 5-2 Submenu Mode MEDUMAT Standard...
  • Page 111 5 User menu You can select the following ventilation modes and additional functions here (see "7 Description of the modes", page 140): Submenu Mode IPPV BiLevel + ASB (only with activated Pressure controlled ventilation modes option) CPAP CPAP + ASB (only with Flow measurement + ASB option) aPCV (only with activated Pressure controlled ventilation modes option)
  • Page 112 5 User menu 5.3.2 Alarm limits 5-3 Submenu Alarm limits Here you can set the alarm limits. You can also open the alarm limit menu by keeping the alarm mute button depressed. Risk of injury due to alarm limits which are too high or too low! Alarm limits which are either too high or too low can prevent the device from emitting an alarm, thereby putting the patient at risk.
  • Page 113 5 User menu Alarm Setting range MVe  (only with Flow 0.1 l to 110 l measurement + ASB option) f  (only with Flow 1/min to 150/min measurement + ASB option) 4 s to 60 s Apnea (only in the CPAP, CPAP + ASB When the time elapses, the device and Demand modes) automatically switches to an apnea...
  • Page 114 5 User menu 5.3.4 Ventilation parameters 5-5 Submenu Ventilation parameters (example) You can change the ventilation parameters of the selected ventilation mode here. 5.3.5 Apnea vent. 5-6 Submenu Apnea vent. MEDUMAT Standard...
  • Page 115 5 User menu In this menu you can activate or deactivate apnea ventilation in the ventilation modes CPAP, CPAP + ASB and Demand. When apnea ventilation is activated, the device automatically switches to IPPV mode once the set apnea time has elapsed. If the BiLevel + ASB mode is unlocked in the operator menu and activated, you can choose between the IPPV mode and the BiLevel + ASB mode as the apnea ventilation mode in the operator...
  • Page 116 5 User menu In this menu you can set the scale for the time axis of the etCO trend. The following setting options exist: auto, 5 min, 10 min, 30 min, 60 min, 120 min. At a time setting of 5 minutes or 10 minutes, the device records a determined value every 15 seconds.
  • Page 117 5 User menu ® If you have unlocked the Bluetooth connection function in the operator menu (see "6.3.7 Device configuration", page 129), the MAC address of the device will also be displayed in this menu. You can then pair MEDUMAT Standard with an external data documentation system during the application.
  • Page 118 5 User menu • Coloring of the display optimized for night vision devices • Display brightness reduced as per preset (see "6.3.7 Device configuration", page 129) This submenu only appears if you activate the NVG option in the operator menu (see "6.3.9 Options", page 138).
  • Page 119 5 User menu 5.3.10 Device configuration 5-11 Submenu Device configuration Here you can change the brightness of the screen. Settings between 5 and 100 % are possible. The selected setting is retained after switching off and on again. MEDUMAT Standard...
  • Page 120: Operator Menu

    6 Operator menu Operator menu 6.1 Navigating the operator menu 1. Switch on the device. The start menu appears. 2. Briefly press the menu button 3. Select the menu item Operator menu. 4. Turn the right-hand navigation knob to enter the first digit of the access code.
  • Page 121 6 Operator menu 8. To select a submenu, turn one of the three navigation knobs. 9. To call up a submenu, press one of the three navigation knobs. 10. To select a desired value, turn one of the three navigation knobs.
  • Page 122: Structure Of The Operator Menu

    6 Operator menu 6.2 Structure of the operator menu Device information Battery information Export service data FlowCheck information Export mission log files Export configuration Import/export Import configuration Date/time Software update Volume Change access code Brightness NVG brightness Device configuration Bluetooth® connection Reset filter counter MEDUtrigger Suppress maintenance reminder...
  • Page 123: Settings In The Operator Menu

    6 Operator menu 6.3 Settings in the operator menu 6.3.1 Device information 6-2 Submenu Device information You will find all the information on the device in this submenu. 6.3.2 Battery information 6-3 Submenu Battery information You will find all the information on the battery in this submenu. MEDUMAT Standard...
  • Page 124 6 Operator menu 6.3.3 FlowCheck information (only with Flow measurement + ASB option) 6-4 Submenu FlowCheck information You will find all the information on the FlowCheck sensor and the following connection lines in this submenu: • FlowCheck sensor connection line •...
  • Page 125 6 Operator menu 6.3.4 Import/export 6-5 Submenu Import/export Export service data The device always saves the service data in its internal memory. You can export data to an SD card in order to analyze it. Detailed information on exported service data can be found in the appendix (see "14.3 Exported service data", page 259).
  • Page 126 6 Operator menu Export configuration The Export configuration function allows you to export all the configuration settings performed on the device to an SD card. When exporting, all the configuration settings (including the options) are transferred with the exception of the following configuration settings: •...
  • Page 127 6 Operator menu Exporting data to an SD card Requirement • An SD card is in the SD card slot. • The operator menu has been called up (see "6.1 Navigating the operator menu", page 120). 1. Select the menu item Import/export. 2.
  • Page 128 6 Operator menu 6.3.5 Software update 6-6 Submenu Software update You can update your software here (see "4.16 Updating the software", page 102). 6.3.6 Change access code 6-7 Submenu Change access code MEDUMAT Standard...
  • Page 129 6 Operator menu Here you can change the access code for the operator menu. On delivery, the access code for the operator menu is 000000. You must change the access code after commissioning the device. Otherwise the message Update operator menu access code appears after switching on the device.
  • Page 130 6 Operator menu In the submenu Device configuration, you can set the following parameters for the device: Parameter Possible values Description Year Month Date/time Here you can set the current date and time. Hour Minute 50 % Here you can set the volume of the acoustic Volume 100 % signals.
  • Page 131 6 Operator menu Parameter Possible values Description When maintenance becomes due, you can suppress a maintenance reminder within a maintenance cycle one time for a maximum of 180 days from the date maintenance is due. The device then behaves as if the maintenance were not due in terms of the reminders.
  • Page 132 6 Operator menu 6.3.8 Presets patient 6-9 Submenu Presets patient In the Presets patient submenu, you can determine which presets are assigned to the ventilation parameters of the different patient groups: Risk of injury from different alarm presets in the same or similar devices! Different alarm presets in the same or similar devices in different application areas can confuse the user and result in injury to the...
  • Page 133 6 Operator menu Emergency mode IPPV IPPV BiLevel + ASB CPAP + ASB aPCV PRVC SIMV + ASB Infant Start mode Child Metronome Adult Metronome freq. CPR mode etCO ↑/↓ Presets patient RSI mode CPR Manual/IPPV CPR CCSV Apnea mode Height PEEP Warning View...
  • Page 134 6 Operator menu Parameter Possible values Description Infant/Child/Adult IPPV BiLevel + ASB CPAP + ASB Here you can select an emergency Emergency mode SIMV + ASB ventilation mode per patient group. S-IPPV PRVC aPCV IPPV BiLevel + ASB CPAP + ASB Factory settings (see 14.1.10, p.
  • Page 135 6 Operator menu Parameter Possible values Description Pressure gauge View (only with Here you can choose between a Pressure/CO curve activated pressure gauge view and a curve Pressure/etCO Capnography option) view for the CPR mode. trend Here you can determine whether or ☑...
  • Page 136 6 Operator menu Parameter Possible values Description RSI mode (only with Flow measurement + ASB option or Capnography option) View (only with Here you can choose between a Pressure gauge activated Capnography pressure gauge view and a curve Pressure/CO curve option) view for the RSI mode.
  • Page 137 6 Operator menu Parameter Possible values Description PEEP Warning Here you can set a limit value for the positive end-expiratory pressure. A warning is then given on the 1 mbar - 21 mbar display if this value is reached or exceeded.
  • Page 138 6 Operator menu 6.3.9 Options 6-11 Submenu Options As the operator you can enable new options for the user in the menu item Unlock option (see "4.15 Unlocking options", page 99) and activate or deactivate the enabled options. Options Description Enables connection of MEDUtrigger MEDUtrigger to the device and use of MEDUtrigger...
  • Page 139 6 Operator menu Options Description Enables the pressure-controlled PRVC + ASB ventilation mode PRVC + ASB. Enables CO measurement and display of the CO curve. For CO Capnography measurement you require a device with CO measuring. Enables flow measurement with the FlowCheck sensor and the following ventilation modes: Flow measurement...
  • Page 140: Description Of The Modes

    7 Description of the modes Description of the modes 7.1 Classification of the ventilation modes Breathing effort 100% Patient Ventilator Assisted ventilation Controlled ventilation Spontaneous respiration The following ventilation modes are possible with this device: Control Controlled Assisted Spontaneous parameter ventilation ventilation respiration...
  • Page 141: Ventilation Parameters

    7 Description of the modes There are the following trigger options in the individual ventilation modes: Trigger window Ventilation Expiration Inspiration trigger for mandatory ASB breath mode trigger breaths IPPV BiLevel + ASB 20 % of Te CPAP CPAP + ASB Can be set from aPCV 0 % - 100 % of Te...
  • Page 142 7 Description of the modes Ventilation Unit Description parameters InTr level (only with activated Flow Inspiratory trigger (three-level setting) measurement + ASB option) ExTr level (only with activated Flow Expiratory trigger (three-level setting) measurement + ASB option) InTr (only with activated Flow l/min Inspiratory trigger (setting with units)
  • Page 143 7 Description of the modes • If the Flow measurement + ASB option is not activated: If no PEEP value has been set (PEEP value = 0), the patient must create an underpressure of at least -0.8 mbar in order to initiate an inspiratory trigger.
  • Page 144: Ventilation Modes

    7 Description of the modes 7.3 Ventilation modes 7.3.1 IPPV mode Description Abbreviation IPPV Intermittent Positive Pressure Long form Ventilation Type Volume-controlled Requirement None Ventilation parameters Left-hand navigation knob Central navigation knob Freq. • PEEP • pMax Right-hand navigation knob •...
  • Page 145 7 Description of the modes The IPPV mode is used for mandatory volume-controlled ventilation with a fixed tidal volume and fixed frequency. This mode is used on patients who have no spontaneous breathing. However, a spontaneously breathing patient can breathe deeply and freely during expiration.
  • Page 146 7 Description of the modes BiLevel + ASB Pressure pMax Mechanical ventilation Assisted spontaneous breathing pInsp Pressure ramp ∆pASB PEEP Time TI=T 1/Freq. insp (spontaneous) 1/Freq. (set) The BiLevel + ASB mode is used for pressure-controlled ventilation combined with free spontaneous breathing at pressure levels pInsp and PEEP during the entire breathing cycle and for adjustable pressure support at PEEP level.
  • Page 147 7 Description of the modes 7.3.3 CPAP mode Description Abbreviation CPAP Long form Continuous Positive Airway Pressure Type Pressure-controlled Requirement None Ventilation parameters Left-hand navigation knob Central navigation knob • PEEP Right-hand navigation knob • pMax • Emergency mode CPAP Pressure pMax CPAP...
  • Page 148 7 Description of the modes 7.3.4 CPAP + ASB mode Description Abbreviation CPAP + ASB Continuous Positive Airway Pressure + Long form Assisted Spontaneous Breathing Type Pressure-controlled Flow measurement + ASB option is Requirement activated Ventilation parameters Left-hand navigation knob InTr Central navigation knob ΔpASB...
  • Page 149 7 Description of the modes • The ASB function is used for pressure support of insufficient or exhausted spontaneous breathing. The patient is able to breathe spontaneously without any restriction, but is supported in his breathing effort by the device. The CPAP + ASB mode is used exclusively on patients with adequate spontaneous breathing.
  • Page 150 7 Description of the modes 7.3.5 aPCV mode Risk of hyperventilation! When using the aPCV mode, the CO concentration in the patient's blood can drop and injure the patient.  Monitor the patient continuously. Risk of air trapping! When using the aPCV mode, air can become trapped in the patient's lung.
  • Page 151 7 Description of the modes aPCV Pressure pMax Synchronized Mechanical Mechanical mechanical ventilation ventilation ventilation pInsp Pressure ramp PEEP Time 1/Freq. (current) ∆T 1/Freq. (set) 1/Freq. (set) adjustable synchronization time slot The aPCV mode is used for pressure-controlled, assisted ventilation at a fixed mandatory ventilation rate.
  • Page 152 7 Description of the modes 7.3.6 PCV mode Description Abbreviation Long form Pressure Controlled Ventilation Type Pressure-controlled • Flow measurement + ASB option is activated Requirement • Pressure controlled ventilation modes option is activated • Curve display option is activated Ventilation parameters Left-hand navigation knob pInsp...
  • Page 153 7 Description of the modes The PCV mode is used for mandatory pressure-controlled ventilation with fixed pressure levels with a fixed set ventilation rate. This mode is used on patients who have no spontaneous breathing. However, a spontaneously breathing patient can breathe deeply and freely during expiration.
  • Page 154 7 Description of the modes PRVC + ASB Pressure pMax Safety pPlateau distance 5 mbar pInsp (variable) Increment max. 3 mbar ∆pASB PEEP Time pressure-controlled volume-controlled pressure-controlled mechanical breath mechanical breath mechanical breath 1/Freq. (set) 1/Freq. (set) The controlled PRVC + ASB mode combines the advantages of both pressure-controlled ventilation and volume-controlled ventilation.
  • Page 155 7 Description of the modes If this inspiratory pressure is achieved (pInsp = pMax - 5 mbar), the device administers as much volume as possible. If this volume deviates from the set tidal volume, the device triggers the medium-priority alarm Vt not achievable. 7.3.8 SIMV mode Description Abbreviation...
  • Page 156 7 Description of the modes The SIMV mode is used for volume-controlled ventilation with a fixed mandatory minute volume. The patient can breathe spontaneously between the mandatory mechanical breaths and thereby increase the minute volume. During spontaneous breathing, the mandatory mechanical breath is synchronized with the patient's breathing.
  • Page 157 7 Description of the modes SIMV + ASB Pressure p Max Mechanical ventilation Assisted Synchronized mechanical spontaneous ventilation breathing Spontaneous pPlat respiration ΔpASB PEEP Time ΔT 1/Freq. (current) 1/Freq. (set) Trigger time slot The SIMV + ASB mode is used for volume-controlled ventilation with a fixed mandatory minute volume.
  • Page 158 7 Description of the modes 7.3.10 S-IPPV mode Risk of hyperventilation! When using the S-IPPV mode, the CO concentration in the patient's blood can drop and injure the patient.  Monitor the patient continuously. Risk of air trapping! When using the S-IPPV mode, air can become trapped in the patient's lung.
  • Page 159 7 Description of the modes S-IPPV Pressure Synchronized mechanical Mechanical ventilation ventilation pMax Plateau PEEP Time ΔT 1/Freq. (current) 1/Freq. (set) Trigger time slot The S-IPPV mode is used for volume-controlled ventilation with a variable mandatory minute volume. Throughout the entire expiratory phase, a trigger is active which enables the patient to trigger a new mechanical breath.
  • Page 160 7 Description of the modes 7.3.11 CCSV mode Risk of injury due to unsecured airway! If the CCSV mode is used, an unsecured airway can result in gastric insufflation and cause injury to the patient.  Only use CCSV mode with an endotracheal tube or with pressure-tight (blocked) tracheostomy cannulas.
  • Page 161 7 Description of the modes CCSV Pressure pInsp CCSV CCSV CCSV Trigger Trigger Time TI = 205 ms TE 225 ms 1/Freq. (min. 430 ms; (140/min) The CCSV mode is a pressure-controlled ventilation mode employed specially and exclusively for ventilation during CPR during continuing chest compression.
  • Page 162: Additional Functions

    7 Description of the modes 7.4 Additional functions 7.4.1 CPR mode Risk of injury from deactivated alarms in the additional functions CPR and RSI! Through deactivation in the operator menu, no alarms for flow and CO monitoring are output in the additional functions CPR and RSI.
  • Page 163 7 Description of the modes The CPR mode supports you during cardiopulmonary resuscitation according to the Resuscitation Guidelines (see "4.7 Ventilating the patient", page 66). The CPR mode differentiates between a CPR Manual mode for 30:2 and 15:2 ventilation and a CPR IPPV continuous mode for continuous chest compression.
  • Page 164 7 Description of the modes In CPR Manual mode, individual mechanical breaths can be manually applied via MEDUtrigger. This mode is applied at the start of a resuscitation if the airway is not secured. Algorithms 15:2 and 30:2 are supported in CPR Manual mode. With these algorithms, 15 or 30 metronome beats are emitted in each case, of which the last 5 sounds have a rising tone frequency and thus announce the imminent ventilation phase.
  • Page 165 7 Description of the modes 7.4.2 RSI mode Risk of injury from deactivated alarms in the additional functions CPR and RSI! Through deactivation in the operator menu, no alarms for flow and CO monitoring are output in the additional functions CPR and RSI.
  • Page 166 7 Description of the modes Following successful airway management, switch to continuous ventilation mode with the Contin. function. The device automatically switches to one of the following modes with the ventilation parameters preset for the patient group (see "14.1.10 Factory settings for emergency modes and ventilation modes", page 257): •...
  • Page 167 7 Description of the modes 7.4.4 Apnea ventilation Description • IPPV Abbreviation • BiLevel + ASB (if Pressure controlled ventilation modes option is activated) • Intermittent Positive Pressure Ventilation Long form • BiLevel ventilation at two pressure levels • Volume-controlled Type •...
  • Page 168 7 Description of the modes Apnea ventilation is a safety function which causes the device to take over and continue ventilation in the CPAP, CPAP + ASB and Demand modes if the patient stops breathing (apnea). If the patient is no longer breathing spontaneously and the set Apnea time in the "Alarm Limits"...
  • Page 169 7 Description of the modes 7.4.5 Inhalation mode Description Abbreviation Long form Inhalation Type Requirement Inhalation option is activated Ventilation parameters Left-hand navigation knob Central navigation knob Right-hand navigation knob Inhalation flow The Inhalation mode is used for the application of a defined oxygen flow of 1-10 l/min via a corresponding interface.
  • Page 170 7 Description of the modes monitoring is used for the sidestream CO measurement during oxygen inhalation or bag mask ventilation (see "4.7.8 Performing CO monitoring (only with Capnography option)", page 77). To use the CO measurement during oxygen inhalation, you require an interface with a male Luer lock connector for CO measurement (see "4.4.7 Connecting the...
  • Page 171: Hygienic Reprocessing

    Read this section in full before starting hygienic reprocessing. If you have any queries on hygienic reprocessing, please contact the manufacturer WEINMANN Emergency or a technician who has been expressly authorized by WEINMANN Emergency. Malfunction or failure of treatment due to the incorrect use of...
  • Page 172 8 Hygienic reprocessing Disruption or failure of therapy due to unsuitable cleaning agents and disinfectants! The use of incorrect cleaning agents and disinfectants can cause the device to malfunction. This can result in serious or life-threatening injury to the patient. ...
  • Page 173 8 Hygienic reprocessing Risk of infection resulting from insufficient hygienic reprocessing! The use of a device and accessories which have not been subjected to hygienic reprocessing may lead to infections if they come into contact with the skin of the patient or user or the patient's airways.
  • Page 174: General Instructions

    8 Hygienic reprocessing Risk of injury and damage to property due to residues of disinfectants and cleaning agents in the device or breathing circuit. Disinfectant or cleaning agent residues can get into the patient's lung. This can result in severe or life-threatening injury to the patient and cause material damage to the device.
  • Page 175: Intervals

    8 Hygienic reprocessing 8.2 Intervals Part Interval After transportation of an infected patient or upon After each use At least 1 x weekly expiry of the filter's service life (at least every 6 months) All parts (except the hygiene filter) Hygiene filter 8.3 Preparing hygienic reprocessing Requirement...
  • Page 176: Disassembly Of The Reusable Breathing Circuit

    8 Hygienic reprocessing 8.4 Disassembly of the reusable breathing circuit The images in this subchapter show all the possible components of the reusable breathing circuit. Depending on the system type, your reusable breathing circuit may not include certain components (see "3.5.2 Reusable breathing circuit and disposable breathing circuit", page 35).
  • Page 177 8 Hygienic reprocessing 5. If available: Detach one of the following connection lines from the FlowCheck sensor: • FlowCheck sensor connection line • FlowCheck sensor connection line with MEDUtrigger 6. If available: Detach the CO measuring tube from the connector with CO connection.
  • Page 178 8 Hygienic reprocessing 7. Detach the pressure measuring tube (2) and PEEP control tube (1) from the patient valve. 8. If available: Remove the protective cap from the end of the reusable breathing circuit closest to the patient. 9. If available: Detach MEDUtrigger. MEDUMAT Standard...
  • Page 179 8 Hygienic reprocessing 10. If available: Detach the elbow. 11. If available: Detach the connector with CO connection. 12. If available: Detach the FlowCheck sensor from the patient valve. 13. Disconnect the patient valve from the ventilation hose. MEDUMAT Standard...
  • Page 180 8 Hygienic reprocessing 14. If available: Remove the protective cap strap from the patient valve: • Position 1 • Position 2 (only with reusable breathing circuits with flow measurement and CO measurement) 15. Disassemble the patient valve. Result The reusable breathing circuit is disassembled. MEDUMAT Standard...
  • Page 181: Cleaning Parts Manually

    8 Hygienic reprocessing 8.5 Cleaning parts manually The hygienic reprocessing is prepared (see "8.3 Preparing hygienic reprocessing", page 175). 1. The parts approved for manual cleaning can be found in the cleaning and disinfection plan (see "8.11 Cleaning and disinfection plan", page 196).
  • Page 182 8 Hygienic reprocessing 5. If the parts need to be wiped down acc. to the cleaning and disinfection plan: Wipe parts down with a lint-free clean cloth that has been moistened with cleaning solution at least twice. When doing so, note: •...
  • Page 183 8 Hygienic reprocessing 10. Allow all parts to dry fully at room temperature or wipe with a dry cloth. Result The parts are manually cleaned. 8.5.1 Cleaning the reusable measuring circuit manually Requirement The reusable measuring circuit is disconnected from the patient valve and the device.
  • Page 184: Wipe Disinfecting Parts

    8 Hygienic reprocessing 6. Rinse the pressure measuring tube and PEEP control tube with drinking-water quality from the inside at least eight times with a disposable syringe. When doing so, note: Only rinse in one direction. 7. Allow the reusable measuring circuit to dry out completely. 8.
  • Page 185: Immersion Disinfecting Parts

    8 Hygienic reprocessing • Wet any uneven surfaces and grooves (e.g., adjusting knob, connection for ventilation tube) sufficiently with the disinfectant. • With a change of filter: Wipe disinfect the filter compartment. 4. Allow the parts to dry fully. 5. Check the parts for residue and any remaining dirt. 6.
  • Page 186 8 Hygienic reprocessing 5. After the specified exposure time, rinse the parts for at least 10 s and textiles for at least 2 min with drinking-water quality in order to remove all of the disinfectant residue. 6. Allow the parts to dry fully. 7.
  • Page 187: Reprocessing Parts Mechanically

    8 Hygienic reprocessing 4. Draw the immersion disinfection solution up through the tube into the disposable syringe by means of suction until both are completely full. 5. Disconnect the disposable syringe from the tube. 6. Immerse the tube in the disinfection solution. When doing so, note: •...
  • Page 188 8 Hygienic reprocessing 2. Place the parts in a washer and disinfector. When doing so, note: • Ensure compliance with the exposure time specified in the cleaning and disinfection plan. • Connect the hoses/tubes with the washer and disinfector. • All parts and lumens must be completely flushed.
  • Page 189 8 Hygienic reprocessing 8.8.2 Autoclaving parts As an alternative to disinfection in the washer and disinfector, the parts can also be disinfected by means of steam sterilization. Please note that sterility is not guaranteed with this procedure. Requirement • The parts have been prepared for mechanical reprocessing (see "8.3 Preparing hygienic reprocessing", page 175).
  • Page 190: Preparing Parts For Reuse

    8 Hygienic reprocessing 8.9 Preparing parts for reuse Requirement The parts have been subjected to hygienic reprocessing according to the cleaning and disinfection plan. 1. Check all parts for damage due to use (e.g., tension cracks and cable breakage). 2. Replace damaged parts. 3.
  • Page 191 8 Hygienic reprocessing 1. Assemble the patient valve. When doing so, note: • the side of the PEEP control diaphragm labeled "TOP" must face upward toward the control cover. • the arrow on the control cover must point toward the patient.
  • Page 192 8 Hygienic reprocessing 4. If available: Connect the FlowCheck sensor. 5. If available: Connect the connector with CO connection. 6. If available: Connect the elbow. MEDUMAT Standard...
  • Page 193 8 Hygienic reprocessing 7. If available: Connect MEDUtrigger 8. Connect the pressure measuring tube (2) and PEEP control tube (1) to the patient valve. When doing so, note: The tubes must be firmly attached to the patient valve. MEDUMAT Standard...
  • Page 194 8 Hygienic reprocessing 9. If available: Connect the CO measuring tube to the connector with CO connection. 10. If available: Connect one of the following connection lines to the FlowCheck sensor: • FlowCheck sensor connection line • FlowCheck sensor connection line with MEDUtrigger MEDUMAT Standard...
  • Page 195 8 Hygienic reprocessing 11. If available: Connect the CO measuring tube with water filter to the measuring circuit connector. 12. If available: Seal the end of the reusable breathing circuit closest to the patient with a protective cap. 13. Place all the hoses/tubes and one of the connection lines in the protective sleeve.
  • Page 196: Cleaning And Disinfection Plan

    8 Hygienic reprocessing 8.11 Cleaning and disinfection plan Carry out hygienic reprocessing according to the following table after every use: 8.11.1 Device and accessories Mechanical Wipe Immersion Part Manual cleaning reprocessing disinfection disinfection (disinfection) Device Wipe down with ® neodisher 12 V cable MediClean forte Charging adapter...
  • Page 197 8 Hygienic reprocessing 8.11.2 Breathing circuits Mechanical Wipe Immersion Part Manual cleaning reprocessing disinfection disinfection (Disinfection) Reusable breathing circuit Ventilation hose Cleaning: ® neodisher Patient valve MediClean forte Elbow Immerse in and (Dr. Weigert): clean with Protective cap Immerse in 0.5 %, 55 °C, ®...
  • Page 198 8 Hygienic reprocessing Mechanical Wipe Immersion Part Manual cleaning reprocessing disinfection disinfection (Disinfection) Washing at 60 °C in industrial washing machine in accordance with EN 16616. Cleaning agent: Derval SOLO (RKI) (Kreussler) Dosage: 2 ml/l. Protective sleeve Not permitted Not permitted Not permitted Contact time: 10 min...
  • Page 199 8 Hygienic reprocessing Mechanical Wipe Immersion Part Manual cleaning reprocessing disinfection disinfection (Disinfection) Disposable breathing circuit Disposable breathing circuit Disposable measuring circuit Hose clips FlowCheck sensor Disposable, do not reuse. Dispose of correctly (see 13, p. 230). (disposable) Water filter measuring tube (only with Capnography...
  • Page 200: Function Check

    9 Function check Function check 9.1 Intervals Carry out a function check at regular intervals: Part concerned Interval • Before each use Device • After each hygienic reprocessing • After each repair • Before each use • After each hygienic reprocessing Breathing circuit (reusable breathing circuit) •...
  • Page 201: Performing A Function Check

    • Testing bag WM 1454 • EasyLung for WEINMANN Emergency WM 28625 Risk of injury from incorrect test lungs! Test lungs other than those named here may not reliably detect errors and thus distort the result of a function check.
  • Page 202 9 Function check • The function check is ready (see "9.2 Preparing for the function check", page 200). 1. Disconnect the device from the line power. When doing so, note: If the device is switched on with the line power connected, the function check cannot be started. The following notice appears on the device display: 2.
  • Page 203 9 Function check 4. Prepare the device: • Connect and open the oxygen cylinder. • Connect the breathing circuit up to the device. • Connect the test lung up to the breathing circuit. Do not touch the breathing circuit and the test lung during the function check.
  • Page 204 9 Function check 6. Check the alarm system: • The alarm light must flash red. • The device must emit at least one audible alarm in alarm system test 1 and alarm system test 2. 7. If the alarm system is functioning: Press the navigation knob yes each time.
  • Page 205 9 Function check 9. In the key function check, press all of the controls one after the other except for the On/Off button If MEDUtrigger is connected to the device, but not displayed in the function check, activate it in the operator menu and repeat the function check.
  • Page 206 9 Function check 11. Proceed with the hygiene filter according to the following table: Color Action Green Continue to use the hygiene filter. • Keep the hygiene filter at the ready. Yellow • Order the hygiene filter. Replace the hygiene filter. 12.
  • Page 207 9 Function check Device fault or device failure if maintenance is either not carried out or not carried out in good time! Wearing parts which are either not replaced or not replaced in good time as part of maintenance can result in device fault or device failure and injury to the patient.
  • Page 208 Function check passed To continue using the device without restrictions: Contact • Service due • Maintenance interval WEINMANN Emergency or • Maintenance symbol is expired a technician authorized by flashing in the display WEINMANN Emergency for (only in the start menu) maintenance.
  • Page 209: Failed Function Check

    1. Check the components named in the instructions on the display and replace if necessary. 2. Repeat the function check. 3. If the function check ends with Device is not ready for use again: Contact your authorized dealer or WEINMANN Emergency. MEDUMAT Standard...
  • Page 210: Testing The Reusable Breathing Circuit

    9 Function check 9.5 Testing the reusable breathing circuit Requirement The patient valve of the reusable breathing circuit is dismounted (see "8.4 Disassembly of the reusable breathing circuit", page 176). 1. Check all parts of the patient valve for external damage. If necessary: Replace damaged parts.
  • Page 211: Rectifying Leaks In The System

    9 Function check 9.7 Rectifying leaks in the system Requirement • All screw connections are tightened. • All hoses/tubes are securely connected. • There is a leak in the system. 1. Prepare a soapy solution using unperfumed soap. Damage to the device caused by ingress of liquids! Ingress of liquids may damage the device, components and accessories.
  • Page 212: Alarms And Error Messages

    10 Alarms and error messages 10 Alarms and error messages 10.1 General instructions The device's alarm system is based on the concept of self- preserving alarms. The device emits an alarm for as long as the cause continues to exist. Once the cause of the alarm no longer exists, the device no longer emits the alarm.
  • Page 213 10 Alarms and error messages The device displays alarms as follows: • As text in the alarm line on the display • Acoustically as an audible alarm (via the loudspeaker on the underside of the device) • With the alarm light (in the top right-hand corner on the front of the device) 10-1 Alarm line with airway pressure alarm The device additionally displays physiological alarms through...
  • Page 214: Alarm Messages

    10 Alarms and error messages 10.2 Alarm messages 10.2.1 High-priority alarm (red) Alarm Cause Remedy Obstruction of the patient's Free the patient's airways of airways obstructions. Endotracheal tube wrongly Position endotracheal tube Airway pressure  positioned correctly. pMax set too low Adjust pMax.
  • Page 215 10 Alarms and error messages Alarm Cause Remedy • Switch device off (see 4.6, p. 65) and back on again Temporary device fault (see 4.5, p. 64). Device fault • Perform a function check. Device defective Have the device repaired. Operate device within Device temperature ...
  • Page 216 10 Alarms and error messages Alarm Cause Remedy Use compressed gas source < 6 bar. Pressure of compressed gas too Supply pressure > 6 bar Switch off the device (see 4.6, high p. 65) and disconnect it from compressed gas source. The following alarms are only emitted once the respective condition is satisfied in two consequent breathing cycles.
  • Page 217 10 Alarms and error messages Alarm Cause Remedy FlowCheck sensor connection line/ Connect the FlowCheck sensor FlowCheck sensor connection line connection line/FlowCheck sensor with MEDUtrigger not connected connection line with MEDUtrigger correctly correctly. FlowCheck sensor connection line/ Replace the FlowCheck sensor Check the FlowCheck connection FlowCheck sensor connection line connection line/FlowCheck sensor...
  • Page 218 10 Alarms and error messages Alarm Cause Remedy The administered tidal volume deviates from the set tidal volume Adjust pMax or Vt. in PRVC + ASB mode. Vt not achievable Compressed gas supply Adjust compressed gas supply. inadequate Sintered filter blocked Have the device repaired.
  • Page 219: Faults

    If you are not able to clear an error message with the aid of the table, you should contact the manufacturer WEINMANN Emergency or your authorized dealer to have the device repaired. To avoid serious damage, do not continue using the device.
  • Page 220 10 Alarms and error messages Fault Cause Remedy Option is deactivated in the Activate the option in the operator operator menu menu (see 6.3.9, p. 138). The functionality of an option is Enable the option in the operator not available Option is not enabled in the menu with the enable code operator menu...
  • Page 221 10 Alarms and error messages 10.3.2 Battery Fault Cause Remedy Battery defective Replace battery. Red fault indicator lights up when status button on battery is pressed Use battery within permitted Battery temperature outside the or red battery status indicator on temperature range (see 14.1.2, permitted range (>...
  • Page 222 10 Alarms and error messages Fault Cause Remedy Flow measurement + ASB option Activate the Flow is deactivated in the operator measurement + ASB option in the menu operator menu (see 6.3.9, p. 138). Flow measurement is not functioning FlowCheck sensor connection line/ Replace the FlowCheck sensor FlowCheck sensor connection line connection line/FlowCheck sensor...
  • Page 223: Maintenance

    11 Maintenance 11 Maintenance 11.1 General instructions Maintenance, safety checks, inspections and repairs must only be carried out by the manufacturer or a technician specifically authorized by the manufacturer. 11.2 Intervals Part concerned Interval Maintenance by Manufacturer or a technician Maintenance and safety check Device specifically authorized by the...
  • Page 224: Sending In Device

    WEINMANN Emergency or a technician specifically authorized by WEINMANN Emergency. If you send in parts which are visibly contaminated, they will be disposed of by WEINMANN Emergency or a technician specifically authorized by WEINMANN Emergency at your expense. MEDUMAT Standard...
  • Page 225: Maintaining The Reusable Breathing Circuit

    11 Maintenance 11.4 Maintaining the reusable breathing circuit Requirement The reusable breathing circuit has been disassembled (see "8.4 Disassembly of the reusable breathing circuit", page 176). 1. Check all parts of the reusable breathing circuit for external damage and complete labeling. If necessary: Replace damaged or incorrectly labeled parts.
  • Page 226: Replacing The Hygiene Filter

    11 Maintenance 11.5 Replacing the hygiene filter Requirement The device is switched off. 1. Wipe-disinfect the outside of the hygiene filter and the device. 2. Pull the hygiene filter out of the filter compartment of the device. 3. Dispose of the hygiene filter along with the filter cassette (see "13.4 Hygiene filter", page 230).
  • Page 227: Storage

    12 Storage 12 Storage 12.1 General instructions • Store the device and accessories under the prescribed ambient conditions (see "14.1.1 Technical data on device", page 231). • Following storage in extreme ambient conditions (outside of the ambient operating conditions, (see "14.1.1 Technical data on device", page 231)): Store the device at room temperature for at least 12 hours...
  • Page 228: Storing Breathing Circuits

    12 Storage 12.3 Storing breathing circuits Material damage due to incorrectly stored breathing circuit! Material changes can result from incorrect storage of the breathing circuit.  In the case of reusable breathing circuits: Also observe storage periods and maintenance intervals for breathing circuits in storage.
  • Page 229: Storing The Battery

    12 Storage 12.4 Storing the battery Requirement The device and the battery have been cleaned and disinfected (see "8.3 Preparing hygienic reprocessing", page 175). • The battery is fully charged. • If available: The replacement battery is fully charged. 1. Insert the battery in the battery compartment and store the device in a dry place.
  • Page 230: Proper Disposal

    • Connection lines 13.2 Battery Do not dispose of used batteries in the household waste. Contact WEINMANN Emergency or a public waste disposal authority. 13.3 Breathing circuit After use, dispose of the breathing circuit in the correct manner for plastics.
  • Page 231: Appendix

    14 Appendix 14 Appendix 14.1 Technical data 14.1.1 Technical data on device Specification Device Product class according to Directive 93/42/EEC Dimensions (W x H x D) 206 mm x 138 mm x 130 mm Weight: Without battery Approx. 2 kg With battery Approx.
  • Page 232 14 Appendix Specification Device Vehicle electrical system operation: Rated voltage 12 V Max. internal resistance of 500 mΩ vehicle electrical system Operating mode Continuous operation Classification acc. to EN 60601-1: • Type of protection against electric Protection class II shock •...
  • Page 233 14 Appendix Specification Device • EN 1789 • EN 60601-1-12 (Categories: Secured in a rescue vehicle, secured in an aeroplane, secured in a helicopter, Resistance to shock and vibration portable at the site of the emergency) • EUROCAE ED-14G (RTCA DO 160 G) (Section 8 - Vibration Aeroplanes Cat.
  • Page 234 14 Appendix Specification Device Pressure gauge: Airway pressure Frequency tachometer (only with CCSV option) Curves: • Airway pressure (only with Flow measurement + ASB option Monitoring and Curve display option or Capnography option) • Flow (only with Flow measurement + ASB option and Curve display option) •...
  • Page 235 14 Appendix Specification Device Minimum limiting pressure (pLim, min) 10 mbar. The device does not generate active negative pressure. Maximum limiting pressure 65 mbar (pLim, max.) Means for limiting pressure Pressure control Means for ensuring the minimum value Pressure control PEEP 0 mbar to 30 mbar (±3 mbar or ±15 %) PEEP CCSV (only with CCSV option)
  • Page 236 Concentrator oxygen (90 % to 96 % oxygen) Pressurized gas thread External thread G 3/8 Connection for ventilation hose WEINMANN Emergency-specific Patient valve connections WEINMANN Emergency-specific Service life of hygiene filter 24 h in Air Mix operation or 6 months Efficiency of hygiene filter >...
  • Page 237 14 Appendix 14.1.2 Technical data for battery Specification Battery Type Li-ion Dimensions (W x H x D) 97 mm x 127 mm x 33 mm Weight 450 g 4.2 Ah charge Nominal capacity > 45 Wh energy Rated voltage 10.8 V Charging time (0 % to 95 %) 3.5 h Charging temperature...
  • Page 238 14 Appendix 14.1.4 Technical data for breathing circuit Breathing circuit Breathing circuit Specification Length 2 m Length 3 m Operation: • Temperature range -20 °C to +50 °C • Relative humidity 15 % to 95 % Storage/Transport: Temperature range up to 48 h •...
  • Page 239 14 Appendix Breathing circuit Breathing circuit Specification Length 2 m Length 3 m Internal volume of the complete respiratory system: • Reusable breathing circuit Approx. 582 ml Approx. 874 ml • Disposable breathing circuit Approx. 588 ml Approx. 885 ml •...
  • Page 240 14 Appendix Dead space in the breathing circuits (2 m and 3 m) Without elbow With elbow Reusable patient valve Approx. 16 ml Approx. 28 ml Disposable patient valve Approx. 19 ml Approx. 27 ml Disposable patient valve with Approx. 5 ml Approx.
  • Page 241 14 Appendix Pressure drop [hPa] over the inspiratory and expiratory flow path at different flow rates [l/min] acc. to EN 794-3 (in combination with MEDUMAT Standard , measuring point 1: Patient connection opening) Breathing circuits (2 m) without FlowCheck sensor and without CO measurement Breathing circuit...
  • Page 242 14 Appendix Pressure drop [hPa] over the inspiratory and expiratory flow path at different flow rates [l/min] acc. to EN 794-3 (in combination with MEDUMAT Standard , measuring point 1: Patient connection opening) Breathing circuits (2 m) with FlowCheck sensor and with CO measurement Breathing circuit...
  • Page 243 14 Appendix Pressure drop [hPa] over the inspiratory and expiratory flow path at different flow rates [l/min] acc. to EN 794-3 (in combination with MEDUMAT Standard , measuring point 1: Patient connection opening) Breathing circuits (3 m) without FlowCheck sensor and without CO measurement Breathing circuit (reusable), Breathing circuit...
  • Page 244 14 Appendix Pressure drop [hPa] over the inspiratory and expiratory flow path at different flow rates [l/min] acc. to EN 794-3 (in combination with MEDUMAT Standard , measuring point 1: Patient connection opening) Breathing circuits (3 m) with FlowCheck sensor and with CO measurement Breathing circuit (reusable), Breathing circuit...
  • Page 245 14 Appendix Pressure drop [hPa] over the inspiratory and expiratory flow path at different flow rates [l/min] Article Inspiratory Expiratory Part Flow [l/min] number (STP) (BTPS) 0.23 Breathing system filter for WM 22162 1.47 1.39 MEDUMAT ventilators 3.16 3.09 0.01 Pneumatic medication WM 15827 0.06...
  • Page 246 14 Appendix 14.1.5 Technical data CO2 monitoring (only with Capnography option) Specification Device Operating range CO measurement • Temperature range • 0 °C to 65 °C • Air pressure • 650 hPa to 1100 hPa If you operate the device outside of the given pressure range, the measured value tolerances may be exceeded: Removal rate for gas sample...
  • Page 247 14 Appendix Functioning of CO monitoring monitoring is performed using the side-stream method by removing a small amount of gas (80 ml/min) close to the patient connection of the breathing circuit. The measurement principle is based on nondispersive infrared technology (NDIR). The CO module provides a time-resolved measurement of the CO concentration (capnogram) and the end-tidal CO (etCO...
  • Page 248 14 Appendix Calibration of the CO module The CO module is only calibrated within the scope of the 2-year maintenance intervals and does not have to be calibrated by the user. Neither calibration nor zero-point adjustment are performed during operation. The CO module features automatic adjustment for barometric pressure.
  • Page 249 14 Appendix 14.1.6 Block diagram MEDUMAT Standard...
  • Page 250 14 Appendix 14.1.7 O consumption of the device Consump on [l/min] MEDUMAT Standard...
  • Page 251 14 Appendix 14.1.8 Oxygen concentration with Air Mix operation The following diagram shows the oxygen concentration for Air Mix operation at different counterpressures and respiratory minute volumes. The oxygen concentration is also reduced accordingly in Air Mix operation if concentrator oxygen is used. in % in % % 60 mbar counterpressure...
  • Page 252 14 Appendix 14.1.9 Technical data on electromagnetic compatibility (EMC) Medical electrical equipment is subject to special precautions in relation to electromagnetic compatibility (EMC). It must be installed and put into operation in accordance with the EMC information contained in the accompanying documentation. Guidelines and manufacturer's declaration –...
  • Page 253 14 Appendix Guidelines and manufacturer's declaration – electromagnetic immunity MEDUMAT Standard is intended for operation in the electromagnetic environment specified below. The customer or the user of the MEDUMAT Standard device must ensure that it is also used in such an environment.
  • Page 254 14 Appendix Guidelines and manufacturer's declaration – electromagnetic immunity MEDUMAT Standard is intended for operation in the electromagnetic environment specified below. The customer or the user of the MEDUMAT Standard device must ensure that it is also used in such an environment.
  • Page 255 14 Appendix Note 1: The higher frequency range applies at 80 MHz and 800 MHz. Note 2: These guidelines may not be applicable in all cases. The size of electromagnetic fields depends on the extent to which they are absorbed and reflected by buildings, objects and persons. The ISM frequency bands (for industrial, scientific, and medical applications) between 150 kHZ and 80 Mhz are: 6.765 MHz to 6.795 MHz;...
  • Page 256 14 Appendix Guidelines and manufacturer's declaration – electromagnetic immunity MEDUMAT Standard has been tested for immunity against the radio services listed below. If the field strength measured at the site where MEDUMAT Standard is used exceeds the upper compliance level, MEDUMAT Standard should be monitored to ensure it is functioning as intended.
  • Page 257 14 Appendix 14.1.10 Factory settings for emergency modes and ventilation modes Ventilation Adult Child Infant parameters Pressure ramp Averaging Averaging Averaging 35 % Flow 35 % Flow 35 % Flow ExTr Level 2 Level 2 Level 2 Freq. 10/min 20/min 30/min 1:1.7 1:1.7...
  • Page 258: Calculation Of Body Weight On The Basis Of Body Height

    14 Appendix 14.2 Calculation of body weight on the basis of body height In the start menu, you can set the height of the patient under the menu item New patient (see "4.7.3 Selecting a ventilation mode for a new patient", page 69).
  • Page 259: Exported Service Data

    14 Appendix 14.3 Exported service data If you have exported service data to an SD card (see "6.3.4 Import/ export", page 125), you will find the following files on the SD card: File name Description debug Supports communication in the event of servicing. status Supports communication in the event of servicing.
  • Page 260 14 Appendix Column name Description alarmsystem Test of the visual and audible alarms buttontest Test of the buttons and navigation knobs temperature sensor Test of the internal temperature of the device airway / mixing chamber Test of the internal pressure sensors pressure sensors int./ext.
  • Page 261 14 Appendix 14.4 Scope of supply 14.4.1 Standard product MEDUMAT Standard with Capnography WM 29500 option Article Part number MEDUMAT Standard basic device with CO WM 28710-02 measurement Reusable breathing circuit for MEDUMAT Standard without flow measurement and with CO measurement, WM 28905 MEDUtrigger for 2 m breathing circuit for manual...
  • Page 262 14 Appendix Article Part number Battery WM 45045 Testing bag WM 1454 Set of CPAP/NIV disposable masks with air cushion WM 15807 Ventilation mask with self-inflating silicone cushion WM 5074 for adults, size 5 etCO nasal cannula WM 1928 Hygiene filter WM 28740 Hook and loop strap with clip WM 28964...
  • Page 263 14 Appendix MEDUMAT Standard without Capnography option, with compressed gas connection WM 29350 at rear Article Part number MEDUMAT Standard basic device without CO WM 28710-03 measurement Reusable breathing circuit for MEDUMAT Standard without flow measurement and without CO WM 28860 measurement, 2 m MEDUtrigger for 2 m breathing circuit for manual WM 28992...
  • Page 264 14 Appendix 14.4.3 Breathing circuits Reusable breathing circuit Article number With flow With CO Number measurement measurement WM 28860 WM 28861 WM 29197 WM 29198 WM 28905 WM 28906 WM 29190 WM 29191 Disposable breathing circuit Article number With flow With CO Number measurement...
  • Page 265 WM 28979 100 W power supply unit WM 28937 12 V cable WM 28356 Charging station WM 45190 EasyLung for WEINMANN Emergency WM 28625 SD card WM 29791 T-distributor with self-sealing coupling WM 22395 Set, wall mounting for power supply unit/charger...
  • Page 266 14 Appendix Article Part number AD22 protective cap WM 28942 2 l oxygen cylinder, full, G 3/4", Article number max. filling pressure 200 bar on request 2 l lightweight oxygen cylinder, full, G 3/4", Article number max. filling pressure 200 bar on request Set of 5, 2 m CO measuring tubes with filter, disposable WM 15695...
  • Page 267 A current list of replacement parts is available at www.weinmann-emergency.com or from your authorized dealer. 14.5 Warranty Starting from the date of purchase, WEINMANN Emergency offers the customer a limited manufacturer's warranty on a new original WEINMANN Emergency product or replacement parts installed by...
  • Page 268 14 Appendix 14.6 Declaration of Conformity WEINMANN Emergency Medical Technology GmbH + Co. KG declares herewith that the product complies fully with the respective regulations of the Medical Device Directive 93/42/EEC. The unabridged text of the Declaration of Conformity can be found on our website at www.weinmann-emergency.com.
  • Page 272 Manufacturer Center for Production, Logistics, Service WEINMANN Emergency WEINMANN Emergency Medical Technology GmbH + Co. KG Medical Technology GmbH + Co. KG Frohbösestraße 12 Siebenstücken 14 22525 Hamburg 24558 Henstedt-Ulzburg GERMANY GERMANY T: +49 40 88 18 96-120 E: customerservice@weinmann-emt.de...

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