3100B HFOV Operator Manual - CareFusion

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4 3100B HFOV Proper operation of the ventilator must be verified prior to each use. Refer to Chapter 7, Operational Verification and Startup Procedures. The alarm functions tested in this procedure verify the capability of the device to detect and indicate conditions that could have a harmful effect on the patient. Touch the outer metal cabinet of the instrument before touching any other component to avoid possible instrument component damage from Electrostatic Discharge. When the ventilator is connected to a patient, it is imperative that someone be in attendance at all times in order to react to any alarms and to detect other indications of a problem. The Inlet Filter Cartridges for the blended gas and the air inputs to the ventilator must be changed at least every 500 hours of operation as described in Chapter 8, Maintenance and Troubleshooting. Failure to replace a Filter Cartridge or substitution of an unauthorized cartridge could result in injury to the patient and/or damage to the equipment. Use only CareFusion Inlet Filter Cartridges. The filter cartridge body must be screwed back on securely. Cross-threaded or loose installation will result in leaks and possible dislodging of the cartridge body. If the cartridge body is dislodged, it will cause the ventilator to cease functioning. Covers enclosing the Control Package, Column, or any other portion of the ventilator, must not be removed by the user. To avoid electrical shock hazard, please refer all service requiring cover removal to a qualified biomedical equipment service technician. Recheck and readjust alarm levels after any parameter change has been made. Troubleshooting with the 3100B should be done “OFF PATIENT” to avoid any potentially dangerous situations such as abrupt changes in the Pa. Do not use extraneous ventilator circuit attachments (such as a suction port) without a secondary external alarm capable of detecting ventilator disconnection. Due to their inline pressure characteristics, such attachments could possibly keep the Pa alarm from detecting an accidental ventilator circuit disconnection. Fractional concentration of inspired oxygen should be verified with an oxygen monitor. Administration of excessive oxygen to a patient may be harmful. It is imperative that the prescribed gas mixture is delivered by the blending system. The Water Trap must be drained at intervals as described in Chapter 8, Maintenance and Troubleshooting. If the ventilator is operating, leave a small amount of water at the bottom of the Water Trap container to act as a flow and pressure seal between the ventilator and the output of the drain. To help prevent patient injury due to humidifier malfunction, the use of a humidifier with the following characteristics is strongly recommended: Thermally protected heater. Alarms on over-filled water reservoir. Alarms on under-filled water reservoir. Alarms when electrically open or shorted temperature probe detected. Alarms at probe temperatures > 41°C. Alarms when dislodged temperature probe detected. Do not place on the Control Package of the ventilator any fluid-containing accessories, accessories that weigh more than ten pounds, or accessories that extend more than six inches above the ventilator electronics package or beyond its sides. This could cause damage to the ventilator, 767164–101 Rev. R
Operator’s Manual 5 Adverse Effects or could cause the ventilator to tip over, resulting in patient or user injuries and/or damage to the equipment. Do not overturn the Patient Circuit Calibration screw, as this may cause damage to the device. When it is nearing its adjustment limit, it will reach a mechanical stop. Do not allow liquids to penetrate the air vents of the ventilator as this may result in machine failure or malfunction. Do not use a liquid sterilization agent on the outside of the ventilator as this may cause damage. Observed Adverse Events A prospective clinical study of the Model 3100B in patients with acute respiratory distress syndrome (ARDS) was conducted at ten sites. The 148 patients enrolled in the study were randomly assigned to one of two groups: a treatment (i.e., “high-frequency”) group, in which patients were treated with the Model 3100B; or a control (i.e., “conventional”) group, in which patients were treated with a conventional ventilator. Treatment outcomes and adverse events were determined at one and six months. Table 1 summarizes the adverse events observed during the study. Table 1: Observed adverse events Adverse event Mucus-plugged ET tube 2 (3%) Inadequate Oxygenation 4 (5%) Respiratory acidosis 4 (5%) New or worsening air leak syndrome # (%) of patient who had this event in the treatment group, N=75 7 (9%) Intractable hypotension 0 (0%) Potential adverse events The adverse events associated with the use of high-frequency ventilation include: atelectasis, inadequate oxygenation, intractable hypotension, mucus-plugging of the tracheal tube, necrotizing tracheobronchitis, new or worsening air leak syndrome, over-humidification, under-humidification, overventilation, under-ventilation, pneumothorax, pneumopericardium, pneumomediastinum, pneumoperitoneum, pulmonary interstitial emphysema and respiratory acidosis. 767164–101 Rev. R
Page 1 and 2: 3100B ® High frequency oscillatory
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Page 5 and 6: 3100B HFOV v Contents Revision Hist
Page 7 and 8: Operator’s Manual Notices vii Pa
Page 9 and 10: 3100B HFOV 1 Chapter 1 Introduction
Page 11: Operator’s Manual 3 Cautions The
Page 15 and 16: Operator’s Manual 7 Exterior Labe
Page 17 and 18: Operator’s Manual 9 Blender/Cooli
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Page 21 and 22: Operator’s Manual 13 Table 2.1 Pa
Page 23 and 24: Operator’s Manual 15 Causes of De
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Page 29 and 30: Operator’s Manual 21 45-Second Si
Page 31 and 32: Operator’s Manual 23 Physical Spe
Page 33 and 34: Operator’s Manual 25 3-Ohm Driver
Page 35 and 36: Operator’s Manual 27 3-Ohm Driver
Page 37 and 38: 3100B HFOV 29 Chapter 4 Description
Page 39 and 40: Operator’s Manual 31 The range, r
Page 41 and 42: Operator’s Manual 33 Figure 4.2.
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Page 47 and 48: Operator’s Manual 39 The Caution
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Page 51 and 52: Operator’s Manual 43 REF CONTROL
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Operator’s Manual 55 CAUTION The
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3100B HFOV 57 Chapter 7 Operational
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Operator’s Manual 59 CAUTION Do n
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Operator’s Manual 61 Performance
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3100B HFOV 63 Chapter 8 Maintenance
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Operator’s Manual 65 The procedur
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Operator’s Manual 67 CAUTION The
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Operator’s Manual 69 Scheduled Pe
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Operator’s Manual 71 Visual / Aud
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Operator’s Manual 73 Failure Duri
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Operator’s Manual 75 Supplies and
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3100B HFOV 77 Chapter 9 Clinical Gu
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Operator’s Manual 79 Although the
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Operator’s Manual 81 Table 9.2 Su
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Operator’s Manual 83 CAUTION Foll
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3100B HFOV 85 Index A adverse event
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Operator’s Manual 87 Pa > 60 cmH2
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3100B HFOV Operator Manual - CareFusion

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