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Related Manuals for Percussionaire Bronchotron Transport System
Summary of Contents for Percussionaire Bronchotron Transport System
- Page 1 Bronchotron Transport System ® High-Frequency Percussive Ventilation User Manual...
- Page 2 First Printing April 2021 Percussionaire® is a registered trademark of Percussionaire Corporation. This work is the sole property of Percussionaire® Corporation. The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Percussionaire®.
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Page 3: Table Of Contents
Table of Contents Chapter 1: Introduction ......................1 Bronchotron® Transport Controller ................1 High-Frequency Percussive Ventilation (HFPV) ............2 Percussive Lung Inflation ....................2 Phasitron® Breathing Circuit A50605-D ..............3 Phasitron® Breathing Circuit ..................3 HFPV Lung Recruitment Protocol Chart ..............4 Document Symbols ...................... - Page 4 Chapter 4: Setup........................16 Chapter 5: Pre-Use Check ....................17 Pre-Use Check with Blender................... 17 Pre-Use Check ......................17 Alarm Check ......................... 18 Chapter 6: Basic Ventilation Starting Strategies ............19 Neonatal Starting Guidelines ................21 Neonatal Strategies ....................21 Pediatric Starting Guidelines .................
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Page 5: Chapter 1: Introduction
Chapter 1: Introduction This chapter provides an overview of the Bronchotron® Transport device and High-Frequency Percussive Ventilation (HFPV). Bronchotron® Transport Controller The Bronchotron® Transport is a pneumatically powered, flow-regulated, time-cycled ventilator that provides high-frequency percussive ventilation (HFPV), between 200- 800 cycles per minute. These high-frequency pulses ramify throughout the airways and alveolar ducts, augmenting diffusive ventilation in the gas exchange regions of the lungs, allowing improved ventilation and FRC, CO₂... -
Page 6: High-Frequency Percussive Ventilation (Hfpv)
High-Frequency Percussive Ventilation (HFPV) This HFPV system supports both diffusive and convective flow by stacking breaths in cumulative subtidal volumes, allowing for air exchange, airway clearance, and lung recruitment for most patient populations, neonatal to adult. Percussive Lung Inflation 10 mm/second Spontaneous Oscillatory Demand CPAP The following chart displays a typical multistage Bronchotron®... -
Page 7: Phasitron® Breathing Circuit A50605-D
Phasitron® Breathing Circuit A50605-D NOTE: The Phasitron® breathing circuit is part of the system and can not be used independently or with any other manufacturer's products. The patented Phasitron® uses a unique sliding venturi mechanism to protect the lung from overpressure. By automatically adjusting to the resistance of the lung, the Phasitron®... -
Page 8: Hfpv Lung Recruitment Protocol Chart
HFPV Lung Recruitment Protocol Chart The chart below illustrates the typical high-frequency percussive ventilation algorithm: Adjustable CPAP This is a method of preventing recruited bronchial airways and alveoli from deflating to a collapsed end resting position during each expiratory lung deflation. Document Symbols Type BF Applied Part WARNING... -
Page 9: Chapter 2: Intended Use
Chapter 2: Intended Use Indications for Use The Bronchotron® Transport is indicated for transport of patients that require high-frequency percussive ventilation. The device is intended for hospital or pre-hospital use, emergency care, intra-hospital, and external hospital transport. Patient Population The Bronchotron® Transport is for use on neonatal, pediatric, and adult patient populations. Absolute Contraindications •... -
Page 10: Clinical Limitations/Restrictions
NOTE: A WARNING icon indicates a risk of injury to patient or operator. A CAUTION icon indicates a risk of equipment damage. WARNINGS Accessories Use only Percussionaire® accessories explicitly designed for use with the Bronchotron®. Using accessories not specifically designed for use with the Bronchotron® may cause harm to the patient. -
Page 11: Cautions
All guidelines in this manual are only suggested; always follow hospital or institutional protocols. CAUTIONS Accessories Use only Percussionaire® accessories designed specifically for use with the Bronchotron®. Using accessories not intended for use with the Bronchotron® may cause equipment damage. Modifications Never attempt to modify the Bronchotron®, as this may cause... -
Page 12: Chapter 3: System Description
Chapter 3: System Description Powered by any remote source of 50-80 psi respiratory gas Portable, high-impact, closable carrying case Battery-operated patient monitoring system Bronchotron® HFPV® Controller Functions PSI Pressure Gauge • Powered by any remote source of 50-80 psi medical grade oxygen or blended gas. Pulse Frequency •... - Page 13 Inspiratory Time • Selects the time interval (adjustable from <0.8 seconds to 6 seconds) in which the inspiratory amplitude (set with the pulsatile flowrate) is delivered. Expiratory Time • Selects the time interval (adjustable from <0.8 seconds to 6 seconds) that the expiratory amplitude is being delivered.
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Page 14: Monitron® Patient Monitoring System
Monitron® Patient Monitoring System Digital Multimeter (DM) On/Off switch activates the audible disconnect Alarm Delay alarm The patient monitoring system provides: • An instantaneous digital readout of effective cycling frequency. • Audible alarming for failure to maintain a proximal airway pressure. •... -
Page 15: Power-On Self-Test (Post) Mode
Power-On Self-Test (POST) Mode When batteries are installed in the Digital Multimeter (DM), the software displays the software revision, battery voltage, total usage time, and serial number for 15 seconds. This start-up mode allows the software to perform additional tests on the hardware that are part of the Power-On Self-Test. -
Page 16: Wake Mode
Wake Mode To wake up the DM, ensure the ventilator pressure is greater than 2.5 cmH₂O/hPa at the Phasitron® patient delivery port for more than 1 second. The DM remains on for the first 15 seconds, showing the bar-graph timer. Stopping usage within 12 seconds causes the DM to enter Report mode. -
Page 17: Report Mode
Dynamic Pressure fluctuates Mean Airway Pressure between (AIP) and (AEP) Bar graph measuring pulse amplitude Pulse Frequency Rate (0-50 cmH O/hPa) Increments Usage Timer 2.5-3 cmH O/hPa Bronchotron® Transport Pulsating grey color represents AIP. Solid black shows PEEP (only when adding PEEP with PEEP valve). Pulsating Bar Graph The pulsating bar graph on the left side displays pulse amplitude calculated as average... -
Page 18: Sleep Mode
The DM enters Sleep mode after 25 minutes. Measurements drop to zero on the display screen when the Bronchotron® Transport ventilator is off. NOTE: When the Bronchotron® Transport is turned off, the measurements will drop to zero after a few seconds. Sleep Mode In Sleep mode, the LCD is off, but the microcontroller continues to sample and... -
Page 19: Fault Detection
(note that positive terminals face same direction) and wait 30 seconds until the screen turns off. If POST check runs correctly, DM may be used. If System Failure screen recurs, contact an authorized Percussionaire® service center. Fault Detection The DM has both hardware and software fault detection. This is a dedicated hardware “watchdog”... -
Page 20: Chapter 4: Setup
Chapter 4: Setup Remove chained cap and connect the Bronchotron® to a 50 psi medical gas source capable of delivering 25 LPM, such as an O₂ supply or a high-flow blender. Connect oxygen or blended gas Device closed to DISS connection on the Device with lid front of the device latched open... -
Page 21: Chapter 5: Pre-Use Check
Chapter 5: Pre-Use Check Pre-Use Check with Blender Connect blender to high-pressure air hose and listen for blender alarm. Connect blender to high-pressure oxygen hose and listen for blender alarm to stop. Disconnect the air hose and listen for blender alarm. Leave O supply connected. -
Page 22: Alarm Check
Turn the green OSCILLATORY CPAP knob counterclockwise until the multimeter display registers an AEP of 10 cmH₂O. Adjust the grey PULSE FREQUENCY control knob until the multimeter display registers a frequency of 500. Set inspiratory time and expiratory time to 2.0 seconds to get a rate of ~ 15 (Adult/Peds). -
Page 23: Chapter 6: Basic Ventilation Starting Strategies
Chapter 6: Basic Ventilation Starting Strategies Connect a Siemens®-style 1-liter ventilator test lung to the Phasitron®. Rotate black OPERATIONAL PRESSURE regulator control → knob clockwise (right) until the operational pressure monitoring gauge registers 30 psi. The Bronchotron® will start cycling. Rotate the black INSPIRATORY and EXPIRATORY TIME control knobs for a rate of 30. - Page 24 Rotate the green OSCILLATORY CPAP control knob arrow to the ↑ 12:00 position. Non-Invasive Invasive If using the Bronchotron® non- invasively, attach the Phasitron® to the appropriate mask and place on patient. If using the Bronchotron® invasively, attach the Phasitron® to the appropriate indwelling artificial airway.
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Page 25: Neonatal Starting Guidelines
Neonatal Starting Guidelines NOTE: These are merely suggested guidelines based on clinical consensus. For basic CO manipulation: Operating Pressure (psi) Increase pulsatile flow in 15-20 High Amplitude (AIP) 2-4 cmH O. increments up to (pulsatile flowrate) (cmH 28-34 cmH (set on digital meter) I time (seconds) For basic oxygenation E time (seconds) -
Page 26: Pediatric Starting Guidelines
Pediatric Starting Guidelines NOTE: These are merely suggested guidelines based on clinical consensus. Pediatrics Pediatrics Pediatrics > 20 kg < 10 kg 10-20 kg Operating Pressure (PSI) High Amplitude 24-28 24-28 28-32 (pulsatile flowrate) (cmH (set on digital meter) I time (seconds) E time (seconds) Oscillatory CPAP (cmH 6-10... -
Page 27: Adult Starting Guidelines
Adult Starting Guidelines NOTE: These starting guidelines are to be used as a reference and were developed by an independent group of clinicians by clinical consensus. Operating Pressure (psi) 40-42 High Amplitude (pulsatile flowrate (cmH AIP 28-32 (maximum 40-46) (set on digital meter) Alternately, adjust pulsatile flowrate to match mean airway pressure (MAP) on... -
Page 28: Adult Strategies
Adult Strategies Manipulation of controls to affect a change in arterial blood gases is essentially the same in all patient populations, the main difference being maximums. Below are guidelines for adults and neonates. Guidelines for pediatrics will be dependent on patient size. -
Page 29: Chapter 7: Cleaning And Disinfection
CAUTION: The battery cell used in this device may present a risk of fire or chemical burn hazard if mistreated. Do not recharge, disassemble, heat above 100°C (212°F), or incinerate. Replace cell with type recognized CR123A only, or Percussionaire® part PRT-B13350. The use of another cell may present a risk of fire or explosion. -
Page 30: Phasitron® Kit A50605-D
Phasitron® Kit A50605-D The Phasitron® breathing circuit kit is a single-use, single-patient circuit used for patient transport only. After patient transport is complete, discard Phasitron® breathing circuit according to hospital/institutional protocol. WARNING: Do NOT reuse the Phasitron® breathing circuit kit. Cleaning and Disinfecting Solutions The Phasitron®... -
Page 31: Chapter 8: Maintenance
Chapter 8: Maintenance Take out and discard old batteries. Replace with new batteries. USB serial port only used for firmware upgrades Side view of DM Changing Digital Multimeter (DM) Batteries A Low Battery indicator is displayed when battery capacity is nearing depletion. Press on the DM’s bezel and twist counterclockwise approximately 20 degrees. -
Page 32: Chapter 9: Troubleshooting
WARNING: If you notice any unexplained changes in the performance of the device, if the device is making unusual sounds, or if the device is dropped or damaged in any way, discontinue use and contact an authorized Percussionaire® service center. -
Page 33: Chapter 10: Technical Specifications
Storage and Transport Range Temp., -20°C to 60°C (-4°F to 140°F) Humidity < 93% non-condensing Battery Multimeter uses (2) CR123A batteries Percussionaire® part PRT-B13350 Run Time Continuous Mean Airway Pressure (MAP) Digital display, 1 to 99 cmH₂O/hPa Average Inhalation Pressure (AIP) -
Page 34: Digital Multimeter (Dm) Specifications
Digital Multimeter (DM) Specifications Size 73 mm diameter (2.87" diameter) Mass 165 g (0.36 lb) Operating Range Temp., -20°C to 60°C (-4°F to 140°F) Humidity < 93% non-condensing Storage and Transport Temp., -20°C to 60°C (-4°F to 140°F) Range Humidity < 93% non-condensing Display 128 x 64-pixel FSTN chip-on-glass LCD with reflector... -
Page 35: Chapter 11: Service And Repair
(proof of delivery will be required). If the product fails to perform in accordance with the product specifications, Percussionaire® will repair or replace – at its option – the defective material or part. Percussionaire® will pay customary freight charges to and from Percussionaire® or an authorized Percussionaire®... - Page 36 130 McGhee Road, Suite 109, Sandpoint, Idaho 83864 USA percussionaire.com +1.208.263.2549 P20050 Rev A...