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Percussionaire VDR-4 System - User Manual

Percussionaire VDR-4 System
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VDR
®
-4 System
Operators Manual
Volumetric Diusive Respirator

Table of Contents

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Summary

Warnings and Cautions

General Safety Precautions

Covers A/C power, airway, alteration, alarms, circuits, maintenance, and oxygen usage safety.

Specific Cautions and Handling

Specific Cautions and Handling

Covers A/C power, alarms, clinician training, device handling, malfunctions, and steam cleaning.

Chapter 1: Introduction

Volumetric Diffusive Respirator (VDR)

Overview of the VDR®-4 unit and its function in High-Frequency Percussive Ventilation.

Key System Features

Describes core functions like Demand CPAP/PEEP, Inspiratory Time, and Pulsatile Flow.

Phasitron A50094-D Breathing Circuit Kit

Phasitron Circuit Mechanism and Function

Details the patented Phasitron® circuit's sliding venturi mechanism and its role in ventilation.

Chapter 2: Intended Use

Indications, Contraindications, and Patient Considerations

Specifies device indications, contraindications, patient population, and potential adverse reactions.

Chapter 3: System Description

Package Contents and VDR-4 Control Panel Overview

Lists system package contents and provides an overview of the VDR®-4 control panel layout.

VDR-4 Front Panel Controls

VDR-4 Front Panel Control Descriptions

Details the function of each numbered control on the VDR®-4 front panel.

VDR-4 Top Panel

VDR-4 Top Panel Description and Options

Describes the controls and displays on the VDR®-4 top panel, including manometer/DM options.

Digital Multimeter (DM)

Digital Multimeter (DM) Operation Modes

Explains the DM's operating modes: POST, Wake, Active, Report, Sleep, and Fault.

Manometer (Proximal Airway Pressure Gauge)

Manometer Functionality and Calibration

Explains the function, display modes, and calibration of the proximal airway pressure manometer.

Monitron II Waveform Analyzer Controls

Monitron II Front Panel Controls and Alarms

Details front panel controls, alarm adjustments (High/Low), and reset functions for the Monitron II.

Monitron II Rear Panel and Display

Monitron II Rear Panel Connections

Describes the rear panel connectors, including power and signal outputs.

Monitron II Waveform Display Features

Explains the waveform display, amplitude scales, and time scales.

Monitron II Monitoring Parameters

Monitron II Monitoring Parameter Descriptions

Lists and explains parameters like I:E Ratio, Convective Rate, Inspiration Time, Mean Pressure, and Amplitudes.

Monitron II Outputs and Connections

Audible Outputs and Gas Connections

Details audible alarm levels and lists available blended gas/air connectors.

Chapter 4: Alarms

Failsafe Sensitivity and Disconnect Alarms

Explains the Failsafe Sensitivity alarm and the Disconnect Alarm functionality.

Modifying Alarm Parameters

Alarm Parameter Adjustment Procedures

Step-by-step guide for adjusting High/Low alarms, setting default alarms, and resetting alarms.

Alarm Activity and Summary

Alarm Activity and Summary Table

Describes various alarm events (high/low amplitude, disconnect) and their visual/audible indicators.

Chapter 5: Setup

VDR-4 Setup Configuration and Connections

Instructions for setting up the VDR®-4 system, including stand, gas, and power connections.

Phasitron A50094-D Breathing Circuit

Phasitron Circuit Connection Procedure

Step-by-step guide for connecting the Phasitron® breathing circuit to the VDR®-4 unit.

Adding Sterile Inhalation Water

Sterile Water Addition Procedure for Humidification

Procedure for adding sterile water to the humidifier and nebulizer for optimal humidification.

Digital Multimeter (DM) Setup and Maintenance

DM Setup and Battery Replacement

Instructions for initial DM setup, atmospheric pressure calibration, and battery replacement.

Chapter 6: Pre-Use Check

Blender and General Pre-Use Checks

Procedures for checking the blender and the overall VDR®-4 system before patient use.

Alarm and System Settings Check

Alarm Check and System Settings Verification

Steps to set specific parameters and check alarm functionality as part of the pre-use protocol.

Monitron II Waveform Analyzer Alarm System

Monitron II Alarm System Verification Steps

Specific steps to verify the correct operation of Monitron II alarms during the pre-use check.

Chapter 7: PATIENT MANAGEMENT

Therapeutic Objectives for HFPV

Outlines the primary goals for managing patients using High-Frequency Percussive Ventilation.

Chapter 8: Clinical Guidelines

Control Knobs, Settings, and Patient Connection

Explains color-coded knobs, default settings, and steps for preparing patient airway connection.

Adjusting Settings

Ventilator Setting Adjustments for Patient Response

Guidance on adjusting settings for oscillatory equilibrium, amplitude, and obstruction to optimize patient response.

Adult Patient Starting Guidelines

Adult Patient Starting Guideline Recommendations

Provides recommended initial settings for adult patients based on clinical consensus.

Adult Patient Blood Gas Manipulation

Adult Patient Blood Gas Management Strategies

Offers strategies for adjusting settings to manage patient blood gas levels (PaO2, PaCO2).

Pediatric and Neonatal Guidelines

Pediatric Patient Starting Guideline Recommendations

Provides recommended initial settings for pediatric patients based on weight categories.

Neonatal Patient Starting Guideline Recommendations

Provides recommended initial settings for neonatal patients.

Neonatal Patient VDR-4 Strategies

Neonatal Patient Management Strategies

Outlines management strategies for neonatal patients with PRDS, Meconium Asp./PPHN, and lung protection.

Neonatal Patient Blood Gas Manipulation

Neonatal Patient Blood Gas Management Strategies

Offers strategies for adjusting neonatal settings to manage patient blood gas levels.

Wean

Weaning Procedures from VDR-4

Provides step-by-step instructions for gradually weaning a patient off the VDR®-4 ventilation.

Chapter 9: Cleaning and Disinfection

Controller, Monitron II, and LCD Cleaning

Details procedures for cleaning the VDR®-4 controller, Monitron II unit, and its LCD screen.

DM, Manometer, and Stand Assembly Cleaning

DM, Manometer, and Stand Assembly Cleaning Procedures

Provides instructions for cleaning the digital multimeter, manometer, and stand assembly.

Phasitron Circuit Cleaning and Disinfection

Phasitron Circuit Cleaning and Disinfecting Solutions

Lists approved cleaning solutions and guidelines for cleaning the Phasitron® breathing circuit kit.

Chapter 10: Troubleshooting

VDR-4 Troubleshooting Guide

Presents common problems and solutions for the VDR®-4 unit.

Monitron II Waveform Analyzer Troubleshooting

Monitron II Troubleshooting Procedures

Details common issues with the Monitron II and the steps to resolve them.

DM and Phasitron Troubleshooting

DM Troubleshooting Steps

Provides troubleshooting steps for issues related to the Digital Multimeter (DM).

Phasitron Troubleshooting Steps

Offers troubleshooting steps for common problems with the Phasitron® breathing circuit kit.

Chapter 11: Service and Repair

Preventive Maintenance and Service Schedule

Recommends annual preventive maintenance and outlines service intervals for the VDR®-4.

Mandated Service and Repair Procedures

Mandated Service Requirements

Details the requirements for mandated service, including component replacement and calibration.

Device Repair Process

Explains how to initiate repairs for the VDR®-4 unit through the service department or distributor.

Equipment Disposal and Shipping

Equipment Disposal Guidelines

Provides guidance on the proper disposal of equipment according to local and international laws.

Shipping and Packaging for Service

Outlines the procedures for cleaning, packaging, and shipping the VDR®-4 for service.

Chapter 12: Limited Warranty

Warranty Terms and Conditions Overview

Details the one-year warranty period, coverage for defects, exclusions, and liability limitations.

Chapter 13: Technical Specifications

VDR-4 and Monitron II Specifications

Lists detailed technical specifications for the VDR®-4 and the Monitron® II Waveform Analyzer.

DM Specifications

Digital Multimeter (DM) Specifications

Lists detailed technical specifications for the Digital Multimeter (DM), including size, range, and battery life.

Percussionaire VDR-4 System Specifications

General IconGeneral
Phasitron® KitA50094-D
Liquid Consumption1 cc per minute
Percussion Frequency50-900 pulses per minute
Pulse/Interval RatioAdjustable
Run TimeContinuous
Flow25 LPM per gas source-sustained
Operating RangeTemp., 0°C to 49°C (32°F to 120°F)
Storage and Transport RangeTemp., -20°C to 60°C (-4°F to 140°F) Humidity < 93% non-condensing
Alarm condition High Airway Pressure LimitAudible indicator (pneumatic pressure failsafe) with automatic pressure relief
Electronic High/Low-Pressure AlarmVisual and audible indicators
Disconnect AlarmAudible indicator
Blender Gas Supply AlertAudible indicator
Maintenance RequiredEvery 3 years
Wall Gas50-80 psi air and O₂
Weight and Dimensions IconWeight and Dimensions
Dimensions (W x H xD)40.64 cm x 33 cm x 25.4 cm (16" x 13" x 10”)
Weight8.98 kg (19.8 lb)

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