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Lowenstein Medical elisa 300 User Manual

Lowenstein Medical elisa 300
457 pages
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LEON MRI
Proven, intuitive, stable.
Specially developed for use in a cardiac cathlabs or MRI ƒ
For all patient groups
Azeer Anesthesia
Workstation
Azeer Intinsive Care
Ventilators Elisa Family

Table of Contents

Questions and Answers:

Lowenstein Medical elisa 300 Specifications

General IconGeneral
TypeVentilator
Modelelisa 300
ManufacturerLowenstein Medical
FiO221 - 100 %
Power Supply100 - 240 V AC, 50/60 Hz

Summary

About this manual

About this manual

Provides information about the "Manoeuvres, Functions, Ventilation Modes" manual and its relation to other documents.

Safety information in these instructions for use

Highlights the importance of reading and observing all warnings and precautions for safe operation.

Use

Intended use

Describes the purpose of the ventilators for adult and paediatric patients requiring ventilation support.

Areas of application

Outlines where the ventilators can be used, including stationary use and patient transport within healthcare facilities.

Differences between elisa 300 and elisa 500

Compares hardware and software options between the elisa 300 and elisa 500 models.

General safety instructions

General safety instructions

Provides essential guidelines for safe operation, secure positioning, and patient safety.

Safety functions

Details safety functions like power-up tests and alarm implementation for user warnings.

Work carried out on the device

Specifies that repairs and maintenance must only be done by authorized personnel.

Components and assembly

System overview

Presents a high-level view of the intensive care ventilator's standard components.

Main components and views

Details front, back, and side views of the ventilator, including component identification.

Valve bar

Explains the valve bar's function and modules, including reprocessing and visual inspection.

Breathing circuit

Specifies requirements for breathing circuits and warnings about anti-static or conductive tubes.

General information

General description of the equipment functions

Describes the ventilator's purpose, components, power supply, and gas supply.

Layout of the ventilation screen

Details the information displayed on the ventilation screen and its basic layout.

General operations

Explains basic operations like opening/closing windows, confirmation, editing parameters, and using the selector.

Symbols

Provides a reference for symbols used on the front, side, and rear panels of the device.

Preparing the system for use

Power supply

Details mains supply, power indicators, and warnings related to power cable usage.

Gas supply

Explains how to connect the O2 gas inlet and provides warnings about gas quality and supply.

Power up test

Describes the power-up test procedure, including audible and visual checks for signalling devices.

System test

Covers the system test procedure, including selecting patient category and performing the test.

Operation

Standby mode

Explains how to pre-configure protocols and start procedures in standby mode.

Select patient interface

Guides on selecting patient interfaces like HFOT, Mask, Endotracheal, or Tracheostomy tubes.

Tube compensation

Describes the tube compensation feature to reduce work of breathing for spontaneously breathing patients.

Ventilation

Covers setting ventilation modes, changing modes, and setting ventilation parameters.

Overview of alarm limits

Provides a summary of ventilation alarms, gas alarms, and other alarms with their limits.

Errors, alarms and troubleshooting

Problems – causes – corrective measures

Lists common errors, their possible causes, and corrective measures for troubleshooting.

Alarm system

Explains the alarm system, priority levels, and how alarm messages are displayed and managed.

Alarm priorities

Details the different alarm priorities and their visual/audible indicators.

Error messages during power up test

Lists error messages during the power-up test and their corrective actions.

Error messages during system test

Lists error messages during the system test and their corrective actions.

Cleaning, disinfection and sterilisation, disposal

General information

Provides important safety precautions and guidelines for avoiding damage and patient contamination.

Cleaning and disinfection

Details procedures for cleaning and disinfecting the intensive care ventilator and its components.

Valve bar

Explains how to remove valve bar parts, machine cleaning, and sterilization procedures.

Disposal of elisa 300 / elisa 500

Provides instructions for the proper disposal of the ventilator and its accessories.

Maintenance

General

Notes that the ventilator requires little maintenance and annual service by an authorized technician.

Oxygen measurement (O2)

Explains the paramagnetic O2 sensor and its calibration procedure.

Air filter cassette for turbine

Describes the HEPA filter for the turbine inlet air and when to replace the air filter cassette.

Maintenance intervals

Outlines maintenance schedules including annual, 6-year, and 12-year intervals.

Technical specifications

Function chart of the elisa 300 / elisa 500 ventilator

Provides a schematic function chart of the ventilator's gas flow path.

General

Details the medical application, area, use, and patient categories for the ventilators.

Supply

Specifies electrical supply details (voltage, consumption, battery type) and gas supply requirements.

Technical data

Lists technical data for ventilation, safety functions, patient categories, and pressure/flow limits.

Control unit

Describes the control unit's screen type, display, input system, and alarm volume.

Default parameters

Explains default parameters and how they depend on software and device configuration.

Increments and maximum performance range

Provides tables for parameter increments and maximum performance ranges for different patient categories.

Guidance and manufacturer's declaration

Includes guidance on electromagnetic environment and manufacturer's declarations.

Default parameters

Default parameters (factory settings)

Lists default parameters for ventilation modes at start-up for adults and children.

Adjustment ranges

Details adjustment ranges for various ventilation parameters like O2, PEEP, and Rate.

Default alarm limits

Specifies default alarm limits for MVmin/max, Vtmin/max, Leakage, and RRmin/max.

Manoeuvres

Manoeuvre availability

Details available manoeuvres and their availability for different patient categories.

HOLD manoeuvres

Explains Inspiratory Hold, Expiratory Hold, and Manual Breath manoeuvres.

Recruitment manoeuvre

Describes the manoeuvre to re-open non-ventilated lung portions using elevated pressures.

PEEPfinder manoeuvre

Details the PEEPfinder manoeuvre for assessing respiratory mechanics and determining ventilation settings.

Functions

Availability of the functions

Lists the availability of functions like O2 Flush, ASR, Cuffscout, and Peso for adults and children.

Automatic Suction Routine (ASR)

Explains suction manoeuvres for open or closed systems to prevent hypoxia during endotracheal suctioning.

Cuffscout

Describes the Cuffscout function for monitoring and controlling cuff pressure, available in static and automatic modes.

Oesophageal pressure measurement (Peso)

Details connecting the oesophageal catheter and using the Peso function for transpulmonary pressure monitoring.

Drug nebulization

Explains the intended use and procedure for pneumatic drug nebulization via the breathing circuit.

Capnometry

Covers intended use, measurement principles, and alarm limits for CO2 sensors.

Multi-gas sensor LeoLyzer

Describes the intended use, measuring principle, and integration of the multi-gas sensor.

SpO2 sensor

Details connecting the SpO2 sensor and its measurement, including alarm limits.

AnaConDa function

Explains the AnaConDa function for volatile anaesthetic agent delivery and its safety instructions.

Ventilation modes and parameters

Default settings

Describes how default ventilation modes and parameters are automatically activated for new patients.

Ventilation modes

Lists available ventilation modes based on software revision and patient settings.

VCV

Explains Volume Controlled Ventilation with constant mandatory minute volume.

PLV

Describes conventional volume-controlled ventilation with optional pressure control.

VC-SIMV

Explains Volume Controlled - Synchronised Intermittent Mandatory Ventilation.

Optional VCV

Describes synchronised, volume-controlled ventilation with spontaneous breathing at PEEP level.

Flexible VCV

Explains synchronised, volume-controlled ventilation with dynamic pressure support.

Volume-adaptive BiLevel

Details synchronised, volume-targeted ventilation with dynamic adjustment of pressure and spontaneous breaths.

PC-APRV

Describes Airway Pressure Release Ventilation, a modified BiLevel mode with inverse I:E ratio.

PCV

Explains synchronised, time- and pressure-controlled ventilation with spontaneous breathing.

ALPV (Adaptive Lung Protection Ventilation)

Describes ALPV as an enhanced ASV mode controlling ventilation per lung-protective guidelines.

WOBOV (Work Of Breathing Optimized Ventilation)

Details WOBOV as a generalist mode promoting spontaneous breathing and optimizing breathing patterns.

CPR

Explains CPR mode ventilation settings that automatically adapt to patient resuscitation conditions.

HFOT

Describes High Flow Oxygen Therapy mode used as a flow generator for nasal CPAP therapy.

External communication interfaces with Salvia protocol

Introduction

Describes the use of communication interfaces with the Salvia protocol for elisa 300-800 VIT.

Layout of the external communication interfaces

Shows the location and types of external communication interfaces on the devices.

External medical equipment interface elisa@megs

Details the elisa@megs interface for expanding communication options with external medical equipment.

Interface specification

Specifies requirements for serial interfaces, Salvia and Philips protocols, and elisa@megs.

Viewable information

Explains the scope of viewable information depending on the Salvia or Philips protocol used.

Operating elisa@megs

Ports

Identifies the ports on the elisa@megs device and their protocol assignments (Philips or Salvia).

Port using the Philips protocol

Provides instructions for connecting devices using the Philips protocol to Port 1.

Port using the Salvia protocol

Provides instructions for connecting devices using the Salvia protocol to Ports 2-5.

Cleaning, disinfection, disposal

General information

Provides important safety precautions and guidelines for avoiding damage and patient contamination.

Cleaning and disinfection

Details procedures for cleaning and disinfecting the elisa@megs device.

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