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Hoffrichter CARAT II pro User Manual
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User’
s manual
for physicians and medical pr
ofessionals
as of device software 3.300
CAR
A
T
I
I pro
V
entilator
Device type 9L
V203
HOFFRICHTER GmbH
Mettenheimer
Straße
12 / 14
19061 Schwerin
Germany
T
elephone:
+49
385
39925 - 0
Fax:
+49
385
39925 - 25
Email: info@hoffrichter
.de
www
.hoffrichter
.de
CARA
T II pro Klinik ENG_2019-11-22_12.0
User’
s manual
CAR
A
T
I
I pro
for physicians and medical professionals
5
0
0
0
0
6
2
5
2
Table of Contents
Default Chapter
5
Table of Contents
5
Chapter 1
11
Introduction
11
Scope of Delivery
12
Symbols
14
Figure 1: Rating Plate
15
Intended Purpose
19
User Qualifications
21
Chapter 2
23
Safety Information
23
General Safety Instructions
24
Electrical Safety
26
Installation Requirements and Transport
27
Instructions before Commissioning
29
Using of Oxygen
29
Integration into IT Networks
30
Safety-Related Test
30
Chapter 3
31
Description of Device
31
Front Side Connecting Points
32
Figure 2: Connections at the Front Side of the Device
32
Rear Side Connecting Points
33
Figure 3: Connections at the Rear Side of the Device
33
Control Elements
35
Figure 4: Control Elements
35
LED Displays
37
Figure 5: LED Displays
37
Movable and Removable Housing Parts
39
Figure 6: Left Device Side
39
Figure 7: Right Device Side
39
Chapter 4
41
Commissioning
41
Setting up the Device
42
Power Supply
42
Figure 8: Setting up the Device
42
Figure 9: Mains Connection Via Power Supply Unit
43
Figure 10: Start Screen
44
Figure 11: Standby Screen
44
Table 1: Operating Time with Battery Power and Factory Default Settings
45
Figure 12: AKKUPACK Uni BASE (Right) / AKKUPACK Uni PLUS (Left)
47
Figure 13: Connecting AKKUPACK Uni BASE
48
Connecting the Tube Circuit
49
Figure 14: Connecting a Single Line Patient Circuit with Pressure Measur
50
Figure 15: Connecting a Single Line Patient Circuit Without Pressure Measur
50
Figure 16: Connecting a Double Line Patient Circuit with Pressure Measur
51
Figure 17: Connecting a Double Line Patient Circuit with Pressure Measur
51
Figure 18: Connecting the Humidifier - Single Line Patient Circuit
52
Figure 19: Connecting the Humidifier - Double Line Patient Circuit
53
Figure 20: Using HME Filter - Double Line Patient Circuit with Pressure Measur
54
Setting an Alarm to Detect Disconnection of the Tube System
55
Table 2: Alarms for Detecting a Disconnection
55
Calibrating the Tube Circuit
56
Figure 21: "Measurement Without Pressure Tube" Message Box
58
Connecting the Alarm Box or the Nurse Call
59
Figure 22: Connecting Alarm Box
59
Spo 2 Sensor Connection
60
Figure 23: Connecting the Spo Sensor
60
Inserting the SD Card
61
Figure 24: Inserting SD Card
61
Removing the SD Card Safely
62
Figure 25: Removing the SD Card Safely
62
Figure 26: Removing SD Card
63
Connecting a PC
64
Figure 27: Connecting a PC
64
Using Oxygen
65
Figure 28: Connecting the Oxygen Source (Rear of Unit)
65
Figure 29: Connecting the Fio 2 Sensor (Single Line Patient Circuit Example)
69
Determining Oxygen Concentration
71
Using the Functional Bag
73
Figure 30: Functional Bag
73
Switching the Device on
74
Switching the Device off
74
Figure 31: Switching on the Device
74
Figure 32: Switching off the Device
74
Chapter 5
75
Ventilation Modes
75
Figure 33: Ventilation Modes Overview
75
PCV Mode
76
Figure 34: PCV Mode Diagram
77
APCV Mode
78
Figure 35: APCV Mode Diagram
79
PSV Mode
80
Figure 36: PSV Mode Diagram
81
PSV-S Mode
82
Figure 37: PSV-S Mode Diagram
83
P-SIMV Mode
84
Figure 38: P-SIMV Mode Diagram
85
VCV Mode
86
Figure 39: VCV Mode Diagram
87
AVCV Mode
88
Figure 40: AVCV Mode Diagram
89
V-SIMV Mode
90
Figure 41: V-SIMV Mode Diagram
91
CPAP Mode
92
Figure 42: CPAP Mode Diagram
92
Overview of Ventilation Modes
93
Table 3: Overview of the Ventilation and Alarm Parameter (Adjustable)
93
Ventilation Parameters Pescription
95
Table 4: Pressure Increase Times of the Ramp
97
Table 5: Thresholds Inspiratory Trigger
98
Figure 43: Flow Trigger (Setting a Percentage Value)
99
Figure 44: Inspiration Trigger Without SMART Function
100
Figure 45: Inspiration Trigger Using SMART Function
101
Description of Alarm Parameters
103
Chapter 6
107
Device Operation
107
Key Lock
107
User Profiles
107
Figure 46: User Profile in the Toolbar
107
Menu Structure
109
Basic Operation
109
Basic Screen Layout
112
Figure 47: Basic Screen Layout
112
Explanation of Toolbar Icons
113
Enabling a Screen
115
Figure 48: Home Screen
115
Monitoring
117
Figure 49: Monitoring Screen (Data), Factory Setting
118
Figure 50: Monitoring Screen (Graphs)
120
Figure 51: Monitoring Screen (Change the Parameters)
121
Figure 52: Monitoring Screen (Freeze Graphs)
122
Figure 53: Flow-Volume-Loop
123
Figure 54: Volume-Pressure-Loop
123
Figure 55: Flow-Volume-Loop
124
Figure 56: Monitoring Screen (Change the Loop)
125
To Change Ventilator and Alarm Parameters
126
Figure 57: Parameter Screen
126
Activating a Ventilation Set
129
Figure 58: Parameter Screen
129
Changing a Ventilation Mode During Ventilation
131
Display of Stored Alarms
132
Figure 59: Alarm Log Screen
132
System Settings
133
Table 6: System Settings- Overview
133
Figure 60: System Screen
134
Figure 61: Circuit Configuration Tightness Check Single Line Patient Circuit
139
Figure 62: Circuit Configuration Tightness Check Double Line Patient Circuit
139
Statistics
142
Figure 63: Statistics Screen (1 Ventilation Parameter)
143
Figure 64: Statistics Screen (2 Ventilation Parameter)
144
Night Screen
145
Figure 65: "Measurements" Night Screen
145
Figure 66: "Light" Night Screen (with Moon)
145
Figure 67: "Dark" Night Screen (Without Moon)
145
Starting Ventilation
147
Stopping Ventilation
147
Figure 68: Stop Ventilation
147
Chapter 7
149
Alarms and Messages
149
General Information
150
Alarm Sound Test
150
Audible Alarm Output (Audio Alarms)
151
Figure 69: Alarm Displays in the Toolbar
151
Visible Alarm Output
152
Figure 70: Alarm Output in the Toolbar
153
Figure 71: Alarm Output in the Textbox
153
Alarm Log
154
Forwarding Alarms
154
Figure 72: Alarm Box
154
Alarm Overview
155
Table 7: Adjustable Alarms
155
Table 8: Fixed Alarms
157
Messages
160
Figure 73: Messages in the Toolbar
160
Table 9: Messages
160
Chapter 8
161
Cleaning and Disinfection
161
Overview
162
Table 10: Cleaning Intervals - Overview
162
Cleaning the Device
164
Cleaning the Tube Circuit
164
Cleaning the Mask
164
Cleaning the Headgear
165
Cleaning / Replacing the Filter
165
Figure 74: Filter Cassette Structure
165
Using the Device for more than One Patient
167
Chapter 9
169
Routine Checks and Maintenance Work
169
Overview
170
Table 11: Service Intervals - Overview
170
Safety-Related Test (SRT)
171
Replacing the Valve Membrane (Expiration)
172
Figure 75: Replacing Valve Membrane (Expiration)
172
Battery Maintenance
173
Chapter 10
175
Appendix
175
Instructions for Ventilation Outside of Aclinical Setting
176
Technical Specifications for the Device
176
Figure 76: Block Diagram for the Device
177
Figure 77: Pneumatic Block Diagram
178
Data Management
179
Table 12: Data Management
179
Error Messages
180
Table 13: Error Messages During Operation and at Device Start-Up
180
Technical Data
182
Settings Ranges and Control Accuracy
185
Table 14: Setting Ranges and Control Accuracy of Ventilation Parameters
185
Table 15: Setting Ranges and Control Accuracy of Alarm Parameters
186
Factory Settings
188
Table 16: Factory Settings of Ventilation Parameter
188
Table 17: Factory Settings of Alarm Parameter
189
Table 18: Factory Settings of Device Parameters
190
Replacement Parts and Accessories
192
Manufacturer's Declaration on Electromagnetic Compatibility
198
Disposal
201
Disclaimer
202
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Hoffrichter CARAT II pro Specifications
General
Brand
Hoffrichter
Model
CARAT II pro
Category
Medical Equipment
Language
English
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