Related Manuals for Percussionaire TXP 5
Summary of Contents for Percussionaire TXP 5
- Page 1 ™ User Manual Patent Pending High Frequency Percussive Ventilator (HFPV) This device is NOT an oscillator (HFOV) NOT a jet (HFJV) NOT a Conventional Ventilator...
- Page 2 Percussionaire®. No part of this document may be copied, reproduced, transmitted, or stored in any electronic information system without the prior written consent of Percussionaire®...
-
Page 3: Table Of Contents
Chapter 3: System Description ..................8 Frequency Control Knob ................... 8 Amplitude Control Knob ..................8 Tubing Connectors ....................8 Percussionaire® Digital Multimeter (PDM) ........... 9 Power-On Self-Test (POST) Mode ............9 Wake Mode ....................10 Active Mode ....................10 Report Mode ....................11 Sleep Mode ....................12... - Page 4 Decrease Ventilation PaCO ..............22 Chapter 7: Cleaning......................23 5 Controller ....................23 ™ Percussionaire® Digital Multimeter (PDM) ..........23 Phasitron® A50606-TXP Breathing Circuit Kit .......... 23 Cleaning and Disinfecting Solutions ............24 Chapter 8: Maintenance ....................25 5 Ventilator ....................25 ™...
-
Page 5: Chapter 1: Introduction Introduction Txp ™ 5
Chapter 1: Introduction TXP ™ This chapter provides an overview of the TXP 5 emergency high frequency ventilator. ™ Numbers for reference only High Frequency Percussive Ventilation High Frequency Percussive Ventilation (HFPV) can be lifesaving for patients with fragile, congested, or stiff lungs weakened by barotrauma or infection. HFPV is a solution that requires neither the pressure of mechanical ventilation nor the breathing action of the patient. -
Page 6: Effects Of Hfpv
Phasitron® Breathing Circuit A50606-TXP Inhalation port Exhalation port 4 x amplification if needed Patient Air/Oxygen inlet Venturi as “clutch” mechanism Effects of HFPV Ventilation & Oxygenation Mobilization of Lung Airway Secretions Recruitment The effects of HFPV occur with or without the cooperation of the patient. HFPV provides a sub-tidal gas exchange within the respiratory bronchioles with associated alveolar recruitment maintaining a minimal mean intrathoracic expiratory pressure increase for peripheral lung stabilization. -
Page 7: Document Symbols
Document Symbols Type BF Applied Part WARNING CAUTION Single Patient Use Read the manual Prescription Only before use CE marking Catalog Number Lot Number Manufacturer European Manufacture Date Representative Non-Sterile Not Made with STERILE LATEX Natural Rubber Latex Does Not Contain the Phthalate DEHP DIBP... -
Page 8: Warnings And Cautions
Warnings and Cautions A WARNING icon indicates a risk of injury to a patient or operator. A CAUTION icon indicates a risk of equipment damage. Warnings It is the user’s responsibility to follow the instructions given in this manual. Keep the operating instructions near the device to ensure correct operation. If the safety instructions are not followed, the patient may be at risk. -
Page 9: Cautions
™ Percussionaire® authorized service personnel. Maintain and service the TXP 5 device according to ™ the recommendations provided in this manual. Only use Percussionaire® accessories designed specifically for use with the TXP 5 device. ™ Malfunctions If the TXP 5 malfunctions, it should not be utilized ™... -
Page 10: Chapter 2: Intended Use
Chapter 2: Intended Use Indications for Use The TXP 5 is designed for emergency ventilation of adult, pediatric or neonatal patients. ™ The device is intended for either hospital or pre-hospital use where emergency care is being provided, including intra-hospital or external hospital transport. The TXP 5 is ™... -
Page 11: Clinical Limitations/Restrictions
Clinical Limitations/Restrictions Use of the TXP 5 is limited to qualified individuals who have received training. ™ WARNING: Suctioning should be performed as necessary; pulmonary alveoli cannot be ventilated when their airways are obstructed. WARNING: When used a clinician must be present so that a one-to-one relationship exists. -
Page 12: Chapter 3: System Description
Chapter 3: System Description The TXP 5 ventilator provides High Frequency Percussive Ventilation (HFPV) as the ™ patient breathes through the Phasitron® breathing circuit. The PDM displays Mean Airway Pressure, Pulse Controls the high Frequency rate and frequency rate Pulse Amplitude in cmH₂O/hPa. -
Page 13: Percussionaire® Digital Multimeter (Pdm)
Percussionaire® Digital Multimeter (PDM) The PDM has six different operating modes: POST, Wake, Active, Report, Sleep and Fault. Numbers for reference only. Power-On Self-Test (POST) Mode When batteries are installed in a system, the PDM 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 14: Wake Mode
Wake Mode To wake up the PDM, ensure the ventilator pressure is greater than 2.5 cmH₂O or 2 hPa at the Phasitron® patient delivery port for more than 1 second, while connected to patient, test lung or by occluding the Phasitron®. The PDM remains on for the first 15 seconds, showing the bar-graph timer. -
Page 15: Report Mode
Pulsating grey color represents Airway Pressure Pulse Amplitude Pulse Frequency PEEP Rate Mean Airway Pressure Solid black represents PEEP Report Mode The Session Timer and the Total Usage Timer (A) are displayed for 2 seconds, followed by the System Information page (B) for 2 seconds, alternating. -
Page 16: Sleep Mode
Replace batteries (note that positive terminals face same direction) and wait 30 seconds. If POST check runs correctly, PDM may be used. If System Failure screen recurs, contact Percussionaire® Corporation for factory service. In all other modes, the software continuously monitors the hardware for errors, as well as verifying that each data sample has a valid value. -
Page 17: Chapter 4: Setup
Chapter 4: Setup Percussionaire® Digital Multimeter (PDM) Setup NOTE: Remove the PDM from the TXP 5 device, to access battery pull tabs, by turning ™ the PDM counterclockwise. Pull up to remove both tabs NOTE: To ensure correct atmospheric pressure calibration at start up, remove batteries, wait 30 seconds and reinstall. -
Page 18: Mounting To Pole/Post
Mounting to Pole/Post Mounting to Pole/Post Mounting to Pole/Post Mounting to Pole/Post Adjusting Clamp Range and Tension Adjusting Clamp Range and Tension Adjusting Clamp Range and Tension Adjusting Clamp Range and Tension Mounting to Rail Mounting to Rail Mounting to Rail Mounting to Rail DU-PRC-0003-01 Rev A 6/4/19 GCX Corp. -
Page 19: Phasitron® A50606-Txp Assembly
Phasitron® A50606-TXP Assembly Filter The Phasitron® A50606-TXP is the mechanical/physiological breathing circuit interface. The Phasitron® has a sliding venturi that acts as both the inhalation and exhalation valve. Connect clear tubing connector (A) to white cap on rear of Phasitron® (B). Connect red tubing connector (C) to front measuring port on Phasitron®... -
Page 20: Configurations
Configurations The Phasitron® A50606-TXP kit can be used invasively using standard endotracheal tubes. Intubated Patient with Phasitron® Supplemental oxygen can be added after filter. Standard Circuit Recommended HME/HMEF bacterial/viral filter with an efficiency of >99.999% and 2 cmH₂O or less flow resistance at 60L/min Phasitron patient port standard 15mm ID, 22mm OD Optional PEEP Valve... -
Page 21: Chapter 5: Pre-Use Check
Chapter 5: Pre-Use Check ™ Connect the Phasitron® to the TXP 5 red and clear connections. Rotate the Frequency knob to full clockwise position. Rotate the Amplitude knob to full clockwise position. ™ Connect TXP 5 to 50-80 psi gas source. With a gloved hand, occlude the Phasitron®... -
Page 22: Chapter 6: Ventilation Settings
Chapter 6: Ventilation Settings Standard Circuit Initial Settings Set Frequency by turning arrow straight up (rate of 500 +/- 25) Attach Phasitron® to patient hospital approved HMEF. Start with Amplitude control knob turned full clockwise (right). Slowly turn Amplitude control knob counterclockwise (left), until patient’s chest is observed to be moving (wiggle). -
Page 23: Adjustment Options: Standard Circuit With Optional Peep Valve And Inspiratory Valve
Adjustment Options: Standard Circuit with Optional PEEP Valve and Inspiratory Valve Increase pO₂ and Decrease CO₂ • Increase amplitude in steps of 2-4 cmH₂O. Watch for increase in MAP. Increase O₂ if CO₂ is OK • If device is plugged into an O₂ outlet, the delivered FiO₂ will be 60%. •... -
Page 24: Patient Monitoring
Patient Monitoring Clinicians should evaluate how their patients tolerate the ventilation. Auscultation and observation of the mechanical vibrations of the chest and abdomen are primary indicators of effective treatment. During HFPV it is important to maintain an unobstructed and unrestricted airway. WARNING: Proper suctioning procedures should be followed to maintain a patent airway. -
Page 25: Oxygenation
Oxygenation Control over arterial PO₂ is achieved by manipulating FiO₂ or increasing the mean airway pressure. The following will increase FiO₂ and/or mean airway pressure, thereby increasing arterial PO₂. Increase Oxygenation Increase FiO₂ This is accomplished if the unit is connected to a blended air/O₂... -
Page 26: Decrease Ventilation Paco
Decrease Ventilation: PaCO a. Reduce amplitude (this will also decrease MAP) Decrease in 2-4 cmH O increments b. Frequency Increase in 60 BPM increments c. Mechanical deadspace Add 6-inch corrugated tubing (as shown below) Mechanical deadspace NOTE: In the face of a difficult clinical scenario with worsening ventilation and or oxygenation, complete assessment of the patient to find the cause of V/Q inequality. -
Page 27: Chapter 7: Cleaning
WARNING: The cell use 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 a CR123A battery only, Percussionaire® (part PRT-B13350). Use of another cell may present a risk of fire or explosion. -
Page 28: Cleaning And Disinfecting Solutions
Cleaning and Disinfecting Solutions The Phasitron® breathing circuit has been tested for biocompatibility with the following cleaning and disinfecting solution: Chemical Class Active Ingredient Bleach 5.25% Sodium hypochlorite Alcohol 70% Isopropyl alcohol Peroxide 3% Hydrogen peroxide Benzyl Ammonium N-alkyl dimethyl ethyl benzyl ammonium chlorides Chloride N-alkyl dimethyl benzyl ammonium chloride Phenolic... -
Page 29: Chapter 8: Maintenance
WARNING: The 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 a CR123A only (Percussionaire part PRT-B13350). Use of another cell may present a risk of fire or explosion. -
Page 30: Chapter 9: Troubleshooting
WARNING: If there are any unexplained changes in the performance of the device, if the device makes unusual sounds or is damaged in any way, discontinue use. Begin troubleshooting process and contact distributor or an authorized Percussionaire® service center. Problem... - Page 31 16 seconds to active multimeter. Multimeter not functional Batteries are dead. Replace batteries with CR123A batteries, or Percussionaire part B13350. Note that positive terminals face the same direction. Multimeter has Power-On Self-Test and Reinstall batteries. Remove both...
-
Page 32: Chapter 10: Technical Specifications
Chapter 10: Technical Specifications 5 Ventilator ™ Accessories Phasitron® Kit A50606-TXP Pulse/Interval Ratio 250-350 1:2 350-450+ 1:1.5 450+ 1:1 Operating Range Temp., 0° C to 49°C (32°F to 120°F) Humidity 5%-95% Storage and Transport Temp., -20°C to 60°C (-4°F to 140°F) Range Humidity <... -
Page 33: Fio Measurements
Measurements Frequency R=50, C= 10ml/cmH Sat without added O Sat with added O post filter ™ 300 MAP/AMPLITUDE 32/99+ 31 LPM 94.6 @ 5 LPM 500 MAP/AMPLITUDE 37/92 28 LPM 100 @ 5 LPM 700 MAP/AMPLITUDE 39/89 25 LPM 100 @ 5 LPM Frequency R=20, C= 10ml/cmH Sat without added O... -
Page 34: Percussionaire® Digital Multimeter (Pdm)
Percussionaire® Digital Multimeter (PDM) Specifications Size 73 mm (2.87 inch) diameter Mass 165 g (0.36 lb) Temp., -20° C to 60° C (-4° F to 140° F) Storage and Transport Range Humidity <93% non-condensing Operating Range Temp., -20°C to 60°C (-4° F to 140° F), Humidity <93% non-condensing... -
Page 35: Chapter 11: Service And Repair
If the product fails to perform in accordance with the product specifications, Percussionaire® will repair or replace – at is option – the defective material or part. Percussionaire® will pay customary freight charges to and from Percussionaire® or an authorized Percussionaire service center. - Page 36 130 McGhee Road., Suite 109, Sandpoint, Idaho 83864 USA percussionaire.com +1.208.263.2549 P20092 Rev A...