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mars 25, 2020
Stockholm, Sweden
To whom it may concern
CUSTOMER NOTIFICATION LETTER
COVID-19 Pandemic
Ventilating ICU patients using Flow-i, Flow-c and Flow-e
anesthesia machines
Dear all,
In view of the situation with the coronavirus, Novel Coronavirus (2019-nCoV), and the possibility to
repurpose Flow-i, Flow-c and Flow-e anesthesia machines for use in the ICU as a ventilator only,
Getinge would like to draw your attention to important information in the following three sections:
1. General information and warnings
2. Preparations for use
3. Key system differences (between Flow anesthesia machines and ICU-ventilators)
Rebreathing
Manual and automatic ventilation (MAN/AUTO) and APL
O
flush
2
Sampling line and watertrap
AGSS (Anesthesia Gas Scavenging System)
Emergency ventilation
Alarms and monitoring
System checkout
MX-7711-02
MCV00103387 REVA
Maquet Critical Care AB
Röntgenvägen 2
S-17154 Solna
Sweden
www.getinge.com
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Summary of Contents for Getinge Flow-i
- Page 1 In view of the situation with the coronavirus, Novel Coronavirus (2019-nCoV), and the possibility to repurpose Flow-i, Flow-c and Flow-e anesthesia machines for use in the ICU as a ventilator only, Getinge would like to draw your attention to important information in the following three sections: 1.
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Page 2: General Information And Warnings
Maquet Critical Care AB is providing the following information for a better understanding of how the anesthesia device functions so that the health care provider can make the decisions on how to proceed when using a Flow-i, Flow-c and Flow-e anesthesia system for use in the ICU as a ventilator only. - Page 3 Reprocessing of applicable parts of the the anesthesia device shall be performed according to the information in the Cleaning and Maintenance Manual, ie between each patient after treating a known carrier of pulmonary contagious agents. Please ensure that the system has the latest avaliable software installed. MCV00103387 REVA MX-7711-02 WWW.GETINGE.COM...
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Page 4: Preparations For Use
Service & Settings menu. The alarm modes above will silence and, for HLM/CPB, disable crucial alarms and are not to be used in the ICU. Please contact a certified Getinge trained service engineer to assist. Connect breathing circuit according to user manual. - Page 5 When the gas passes through the soda lime, CO is absorbed and water and heat are produced. A higher rebreathing fraction could thus humidify and warm inspiratory gases and may make active humidification redundant. MCV00103387 REVA MX-7711-02 WWW.GETINGE.COM...
- Page 6 Anesthetic Gas Scavenging System (AGSS). When the MAN/AUTO switch is set to “MAN” the manual ventilation valve opens and the manual ventilation bag is connected to the breathing system. MCV00103387 REVA MX-7711-02 WWW.GETINGE.COM...
- Page 7 Check the water trap and sampling line regularly and discard/empty any water present in the water trap. Empty or discard the water trap after 17 hours of active use, or when half full. The content of the water trap should be handled as as biological hazardous waste. MCV00103387 REVA MX-7711-02 WWW.GETINGE.COM...
- Page 8 Taking this into consideration it is crucial that the clinician in charge has full control of the screen for the visual alarms and the sound turned up to 100%. Alarm limits will need to be adapted for each patient. MCV00103387 REVA MX-7711-02 WWW.GETINGE.COM...
- Page 9 The test will take 6-8 minutes Make sure to document the settings before going to Standby as the machine will reset to startup configurations. If you have any questions or remarks to this topic, please do not hesitate to contact your local Getinge representative. Yours sincerely, Miray Kärnekull, MD...
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