engström carestation - ge...
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Features• Simplifieduserinterface
• ParamagneticO2sensing
• Non-Invasiveventilation(Optional)
• Secureaccesstocentralstations
• Sophisticatedpowermanagementcontrol withbatterybackup
• Auxiliarypressuresensor
• AirwayResistanceCompensation
Integrated Ventilation and Monitoring• Advancedventilation
• INview™Suite:SpiroDynamics™andFRCINview
• Plugandplaymodules
• PatientSpirometry
• Gasmonitoringwithmetabolicsandenergyexpenditure
• OptionaluseofproximalNeoFlowSensor withNeonatalventilation
Exceptional Design• Adaptabletoyourenvironment
• Flexibleandmoveabledisplay
• Transferablemodulebay
• Quick-releaseexpiratoryvalve
• Multipletrolleyconfigurations
Aerogen Aeroneb® Pro• Built-inadvancednebulizationsystem
• Operatedin-lineorindependentlyforinfants throughadults
EngströmCarestation™
Breathinglifeintocriticalcare
GEHealthcare
Physical Specifications
Dimensions
Height: 44.5cm/17.5in(Displaydown) 67.5cm/26.6in(Displayup)
Heightincludingcart: 122cm/48in(Displaydown) 145cm/57.1in(Displayup)
Width: 38cm/15in
Depth: 36cm/14in
Weight: 31kg/68.3lb(notincludingcart); 76kg/167.6lb(includingcart)
Display motion
Verticaltilt: 160°inraisedposition 60°inloweredposition
Heightadjustment: 23cm/9.1in
Modes of Ventilation
VolumeControlled(VCV)
PressureControlled(PCV)
PressureControlled,VolumeGuaranteed(PCV-VG)
SynchronizedIntermittentMandatoryVentilation,
VolumeControlled(SIMV-VC)
SynchronizedIntermittentMandatoryVentilation,
PressureControlled(SIMV-PC)
SynchronizedIntermittentMandatoryVentilation,Pressure
Controlled,VolumeGuaranteed(SIMV-PCVG)(optional)
BiLevelAirwayPressureVentilation(APRVcapable)
BiLevelwithVolumeGuaranteed(BiLevel-VG)(optional)
Non-InvasiveVentilation(NIV)(optional);nCPAPavailablewithNeonataloption
ConstantPositiveAirwayPressure/PressureSupportVentilation(CPAP/PSV)
ApneabackupavailableinSIMV-VC,SIMV-PC,BiLevel,SIMV-PCVG,BiLevel-VG,CPAP/PSVandVG-PS(institutionallyselectabledefaults)
VolumeGuaranteePressureSupport(VG-PS)availablewithNeonataloption
Control and Ranges
Maximumpeakflow: 200L/min
Flow: 0.2to30L/min(0.004to0.5L/sec) 2to90L/min(0.04to1.5L/sec) 2to160L/min(0.04to2.6L/sec)
Incrementalsettings: 0.2to5L/min(incrementsof0.1L/min) 5to30L/min(incrementsof0.5L/min) 2to40L/min(incrementsof1L/min) 40to90L/min(incrementsof5L/min) 40to160L/min(incrementsof5L/min)
FiO2: 21to100%O2
Rate: 3to150breathsperminuteforVCV,PCV, PCV-VGandBiLevel(incrementsof1breath perminute)
3to120breathsperminuteforVCV,PCV, PCV-VGandBiLevel(incrementsof1breath perminute)
2to60breathsperminuteforSIMV-VC, SIMV-PC,SIMV-PCVG,BiLevel-VG (incrementsof1breathperminute)
1to60breathsperminuteforSIMV-VC,SIMV-PC,SIMV-PCVGandBiLevel-VG(incrementsof1breathperminute)
Key: Available only when Adult patient type is selected
Available only when Pediatric patient type is selected
Available only when Neonatal patient type is selected
Note: Neonatal software is an optional feature. If not specified with the icon, features listed in this specifications sheet apply to Adult/Pediatric units and patient population selections.
Note: Ranges and Settings without an icon pertain to both Adult and Pediatric patient types.
Inspiratorytime:0.1to10sec 0.1to1sec(incrementsof0.01) 1to4sec(incrementsof0.1) 4to10sec(incrementsof0.25) 0.25to15sec 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.10) 4to15sec(incrementsof0.25)
Thigh: 0.1to10sec 0.1to1sec(incrementsof0.01) 1to4sec(incrementsof0.1) 4to10sec(incrementsof0.25) 0.25to15sec 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to15sec(incrementsof0.25)
Tlow: 0.25to18sec 0.25to1sec(incrementsof0.01) 1to4sec(incrementsof0.1) 4to18sec(incrementsof0.25) 0.25to18sec 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to18sec(incrementsof0.25)
Tsupp: 0.1to0.8sec(incrementsof0.01) 0.25to4secforNIV 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.1)
Expiratorytime: 0.25to59.75sec 0.25to29.9secInvasiveventmodes 0.5to59.75secforNIV
Risetime: 0to500msofinspiratoryperiodforeitherfloworpressuredependingonthemodeselected.ActiveinVCV,PCV,PCV-VG,SIMV-VC,SIMV-PC,SIMV-PCVG,BiLevel-VG,NIVandBiLevel(incrementsof50ms)
PSVrisetime: 0to500msofinspiratoryperiodforpressuresupportedbreathsonly.ActiveinSIMV-VC,SIMV-PC,SIMV-PCVG,BiLevel,BiLevel-VG,CPAP/PSVandVG-PS(incrementsof50ms)
Triggerwindow:0to80%ofexpirationtime(incrementsof5%)
Flowtrigger: 0.2to1L/min(incrementsof0.05L/min) 1to3L/min(incrementsof0.1L/min) 3to9L/min(incrementsof0.5L/min)
Pressuretrigger:–10to–3cmH2O(incrementsof0.5cmH2O) –3to–0.25cmH2O(incrementsof0.25cmH2O)
Biasflowrate: 2to15L/min(incrementsof0.5L/min) fornCPAP 2to10L/min(incrementsof0.5L/min) 8to20L/minforNIV(incrementsof0.5L/min)
Control and Ranges (continued)
Minimumrate: 2to60breathsperminuteforVG-PS(incrementsof1breathperminute) 0to60breathsperminuteforCPAP/PSVand0to40breathsperminuteforNIV(incrementsof1breathperminute)
Inspiratory/expiratoryratio: 1:199to40:1inBiLevel 1:9to4:1(ventilatorsetting) 1:79to60:1inBiLevel
Tidalvolumerange: 2to350mL 20to2000mL
Incrementalsettings: 2to50mL(incrementsof0.5mL) 50to100mL(incrementsof1mL) 100to350mL(incrementsof5mL) ForVCV,PCV-VG,SIMV-VC,SIMV-PCVG, VG-PSandBiLevel-VG 20to50ml(incrementsof0.5ml) 50to100ml(incrementsof1ml) 100to300ml(incrementsof5ml) 300to1000mL(incrementsof25mL) 1000to2000mL(incrementsof50mL) ForVCV,PCV-VG,SIMV-VC,SIMV-PCVG andBiLevel-VG
Patientweight: 0.25to1kg(incrementsof0.01kg) 1to7kg(incrementsof0.1kg) 0.5to2lb(incrementsof0.02lb) 2to15lb(incrementsof0.2lb) 5to15kg(incrementsof0.5kg) 15to100kg(incrementsof1kg) 100to200kg(incrementsof2kg) 10to34lb(incrementsof1lb) 34to220lb(incrementsof2lb) 220to440lb(incrementsof5lb)
Inspiratorypressure(Pinsp)range: 1to98cmH2O(incrementsof1cmH2O)
Phigh: 1to98cmH2O(incrementsof1cmH2O)
Plow: Off,1to50cmH2O(incrementsof1cmH2O)
Pressurelimit(Plimit)range: 7to100cmH2OforVCVandSIMV-VC
(incrementsof1cmH2O)
Max.inspiratorypressure(Pmax)limit: 7to100cmH2O(incrementsof1cmH2O) 9-100cmH2O(incrementsof1cmH2O) inNIVandnCPAP
PEEP: Off,1to50cmH2O(incrementsof1cmH2O) 2-15cmH2O(incrementsof1cmH2O) innCPAP 2-20cmH2O(incrementsof1cmH2O)inNIV
EtO2: Low: Off,10to99% High: 11to100%,Off
EtCO2: Low: Off,0.1to14.9%orOff, 0to114.5mmHg
High: 0.2to15%,off or0.5to115mmHg,Off
Ventilationsoftlimitindicators: Whenadjustingselectedventilator
parameters,colorindicatorsshowwhenparametersareapproachingtheirsettinglimits.
Parameterswithsoftlimits: Pmax,PEEP,Pinsp,Psupp,Tinsp,RR,I:E,Phigh,Plow,
ThighandTlow
Alarm System
Escalatingalarms: Highpriorityalarmsescalatetoahigherpitch
ifunattendedforspecifiedtime
Adjustableto: 0,10,20and30sec,Off
Autolimits: Alarmlimitscalculatedonthecurrentmeasuredvaluesforselectedparameters
Procedures
Suction
Programroutine:Automatic
Pre-oxygenation: ≤2minuteswith100%O2with
automaticdisconnectiondetection*
Standbypause: ≤2minuteswithautomaticpatient(re-connection)detection
Post-oxygenation: ≤2minuteswith100%O2*
Note:FIO2canbesettolevelotherthan100%
*Note:5to75%abovecurrentFiO2setting
Manual breath
IntrinsicPEEP(includesPEEPiVolume)
LungMechanics: PØ.1 NIF VitalCapacity
Inspiratoryhold:2to15sec(incrementsof1sec)
Expiratoryhold: 2to20sec(incrementsof1sec)
SpontaneousBreathingTrial(SBT)(Adjustablerange:2to120minutes)
Control and Ranges (continued)
Insp.pause: 0to75%ofinspirationtime(incrementsof5%)
Tpause: 0to7.5sec 0to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to7.5(incrementsof0.25) 0to11sec 0to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to11(incrementsof0.25)
PressuresupportfromPEEPlevel: 0to60cmH2OforSIMV-VC,SIMV-PC, SIMV-PCVG,BiLevel,BiLevel-VGand CPAP/PSV(incrementsof1cmH2O) 0to30cmH2OforNIV(increments of1cmH2O)
Endflowlevel: 5to80%ofpeakflowforNIV,SIMV-VC,SIMV-PC,SIMV-PCVG,BiLevel,BiLevel-VG,VG-PSandCPAP/PSV(incrementsof5%)
Alarm Settings
Tidalvolume: Low: Off,1to345mL Off,5to1950mL High: 3to350mL,Off 10to2000mL,Off
Minutevolume: Low: 0.01to10L/min 0.01to40L/min High: 0.02to40L/min 0.4to99L/min
Respiratoryrate: Low: Off,1to99/min High: 2to150/min,Off 2to120/min,Off
Inspiredoxygen(FiO2): Low: 18to99% High: 24to100%,Off
Pmax: High: 7to100cmH2O 9-100cmH2O(incrementsof 1cmH2O)inNIVandnCPAP
Ppeak: Low: 1to97cmH2O
PEEPe: Low: Off,1to20cmH2O High: 5to50cmH2O,Off
PEEPi: High: 1to20cmH2O,Off
Plimit: 7to100cmH2O
Apneaalarm: Useradjustable: 5to20sec 10to60sec
Circuitleak: 10to90%,Off
FRC INview (optional)Note:NotavailablewhenNeonatalpatienttypeisselected
• FunctionalResidualCapacitymeasurement
– Wash-inandWash-outmethodprovides2separate FRCmeasurements
• FRCdisplayedbothnumericallyandgraphically
• Themostrecent5FRCproceduresdisplayed
• PEEPeandPEEPidisplayedwitheachFRC
• FRCEventLogrecords:
– FRCmeasurements
– Ventilatorsettingsandproceduresthatmayaffectthe FRCprocedure
• Programmabletimeintervalsforautomatic FRCmeasurements
PEEP INview (available with FRC INview)Note:NotavailablewhenNeonatalpatienttypeisselected
• MeasuresFRCatupto5differentPEEPlevels
• GraphicandnumericdisplayofFRCvalues
• UserselectablebeginningandendingPEEPlevels
– VentilatorevenlyspacesadditionalPEEPlevels
– PEEPlevelscaneitherincreaseordecrease
• PEEPeandPEEPidisplayedduringeachFRCmeasurement
Lung INview (available with SpiroDynamics and FRC INview)Note:NotavailablewhenNeonatalpatienttypeisselected
• IntegratesSpiroDynamicsandFRCINviewwithinthe PEEPINviewprocedure
• MeasurestheamountofvolumebetweentheDynostatic curvesateachFRCmeasurement
• Estimateofrecruitmentvolume
INview Vent Calculations (optional) Note:NotavailablewhenNeonatalpatienttypeisselected
DatafromEngströmCarestationandexternallabresultsareusedtoprovidethefollowingvalues:
• PAO2–Alveolarpartialpressureofoxygen
• AaDO2–Alveolararterialoxygendifference
• Pa/FiO2–Oxygenationindex
• PaO2/PAO2–Alveolararterialoxygenpressuredifference
• CO–Cardiacoutput
• Vd/Vt–Deadspaceventilation
• Vd–Deadspacevolume
• VA–Alveolarventilation
Spirometry
Datasource: VentilatororCompactAirwayModule* (M-COV,M-COVX,M-CAiOV,M-CAiOVX;E-COV, E-COVX,E-CAiOV,E-CAiOVX)
Looptypes: Pressure-Volume,Pressure-FlowandFlow-Volume
Savedloop: Uptosixloopscanbesaved
Referenceloop: Asavedloopcanbeselectedasthereferencelooptocomparewiththecurrentloopbeingdisplayed
Cursor: FreezescurrentloopsandprovidesnumericdisplayofXandYaxisascursormovesacrossloops
Pulmonarymechanics: Ppeak,Pplat,Pmean,PEEPe,PEEPi,TVinsp,TVexp,MVinsp,
MVexp,ComplianceandResistance
Auxiliary Pressure
Auxiliarypressure(Paux): Measuredrange:-20to+120cmH2O Alarmrange:12to100cmH2O
Purgeflow: LowflowtoclearthePauxline,canbe turnedOff
SpiroDynamics (optional)Note:NotavailablewhenNeonatalpatienttypeisselected
• TrachealPressure–Volumeloopdisplayed
• DynostaticCurvedisplayscalculatedalveolarpressure
• TrachealpressuremeasuredviaGE’sintratracheal pressuresensor*
–ConnectsdirectlytoEngström’sauxiliarypressureport
• 3pointcompliancemeasurement
– at5-15%ofthebreath
– at45-55%ofthebreath
– at85-95%ofthebreath
• Storeupto6SpiroDynamicloops
• Storeupto6Dynostaticcurves
• Overlayupto2separateloopsand/orcurvesover currentloop
• Cursoravailableacrossalldisplayedloopsandcurves
– Pressureandvolumevaluesdisplayedatcursorposition
• Ppeak,PEEPeandRawdisplayed
*Forcompletespecifications,seeproductspecificationsheets.
Airway Resistance Compensation (ARC)
Note:NotavailableinNeonataloption
Typeofcompensation: Electronictubecompensation
Compensationfor: Endotrachealandtracheostomytubes
Tubediameter: 5to10mm
Levelofcompensation: 25to100%
Mode Families
Allowsuseradjustmenttospecifycertainparametersthatalignwiththehospital’scurrentventilatorusage.
Adjustableparameters: FlowandInspiratorytiming
Family1: FlowcontrolisOn/Insp.TimingisI:EFamily2: FlowcontrolisOff/Insp.TimingisI:EFamily3: FlowcontrolisOn/Insp.TimingisTinspFamily4: FlowcontrolisOff/Insp.TimingisTinspFamily5: FlowcontrolisOn/Insp.TimingisTpause
Ventilator Monitoring
Airwaypressure –20to+120cmH2O
Patientflow 0.1to32L/min 1to200L/min
Tidalvolume 0.5to1,000mLwithNeonatal FlowSensor 1to1,000mLwithouttheNeonatal FlowSensor 5to2,500mL
Minutevolume 0to99.9L/min
CO2 0to30%/0to225mmHg
Compliance 0.1to150mL/cmH2O
Resistance 1to500cmH2O/L/s
RQ 0.6to1.3
VO2 50to1000mL/min
VCO2 50to1000mL/min
Rate 0to150breathsperminute (incrementsof1breathperminute) 0to120breathsperminute (incrementsof1breathperminute)
FiO2 10to100%
RapidShallowBreathingIndex(RSBI) 1to999bpm/L
Note:NotavailableinNeonataloption
Non-Invasive Ventilation (NIV) (optional)
Maskventilation:Yes
Integrateduniqueleakrecognitionalgorithm
Automatic Patient Detection (APD)
Patientre-connection: Automaticdetectioninstandby
Detectionby: BackpressuretoBias-flow
100% O2 ( O2)
Delivers5to75%abovecurrentFiO2settingfor≤2minutes
Delivers100%O2for≤2minutes
CanbeadjustedtootherO2%
Take Snapshot
ImmediatecaptureandstorageofcriticaldatacurrentlyontheEngström’sdisplay
Storeddata: 3waveformsegments Alarmmessages(upto5,currentlyactive) Allmeasuredparameters Allsetventilatorparameters
MaximumstoredSnapshots: 10mostrecent
Cursor: Abilitytocursoracrosswaveforms forspecificmeasuredvalues
Ventilator Preferences
Back-upMode: EstablishesthespecificventilatormodeandparametersusedintheeventthattheventilatorswitchestoBack-upventilation
ARC: Allowscontrolandsettingoftheairwayresistancecompensation
AssistControl: AllowstheusertoturntheAssistControlcapabilityOnorOff
LeakCompensation: AllowstheusertoturntheLeak
CompensationcapabilityOnorOffTriggerCompensation: AllowstheusertoturnOnorOff
compensationforflowtriggeringTVBasedConditions: AllowssettingbetweenATPD(Ambient
TemperaturePressureDry)orBTPS(BodyTemperaturePressureSaturated)
Nebulization
Nebulizer: AeronebNebulizerSystembuilt-in
Nebulizertechnology: Electronicmicropump
Nebulizerruntime:10,15,20or30minutes
Auto-repeatcapability: Cycles:1to10 PauseTime:30secto8hr 1to5minutes(incrementsof1minute) 5to55minutes(incrementsof5minutes) 1to8hours(incrementsof0.5hour)Nebulizervolumesetting: 2.5,3,5or6mL
Particlesize: AeronebPro:average2.1micronsMMAD (MeanMassAerodynamicDiameter) AeronebSolo:3.4micronsMMADResidualvolume: AeronebPro:average0.3mL AeronebSolo:average<0.1mL
Performancemayvarydependinguponthetypeofdrugused.ForadditionalinformationcontactAerogenordrugsupplier.
Pnuematic nebulizer
Flowcompensation: 1to4L/min(incrementsof0.5L/min) 1to12L/min(incrementsof0.5L/min)
Monitor Module
Modulecapacity 4singleslotor2doubleslotmodules
Compactairwaymodulecompatibility M-C,M-CO,M-COV,M-COVX,M-CAiO, M-CAiOV,M-CAiOVX,E-CO,E-COV, E-COVX,E-CAiO,E-CAiOV,E-CAiOVX, M-miniC,E-miniC
Note:TheEngströmCarestationdoesnotutilizetheAi(inhaledanesthesia)featureofthecompactairwaymodulesatthistime.
Note:TheEngströmCarestationdoesnotutilizeanyofthecompactairwaymoduleswhentheNeonatalOptionisinuse.
Trends
Trenddata: Setparametersandmeasureddata
Trendstyles: Measuredandgraphic
Maximumtrending:14days(336hours)
Trendscaling: 12min,1h,2h,4h,6h,8h,10h,12h,24h, 36h,48hand72h
Resolution: 1minuteintervalsformostrecent12hours, 5minuteintervalsfor12to48hours, 30minuteintervalsafter48hours
Mini-Trends: Waveformvaluescanbedisplayed asatrendinasplitscreenview
Oxygen Monitoring
Technology: DynamicParamagneticOxygen monitoringsystem
Lifespan: Unlimitedoperatinglifeduetotheuseof non-depletingtechnology
Screen
Displaytype: 30.5cm/12inchtouchscreenfullcolorLCDadjustableviewingangle
Waveformsinscreen: Threeatatime
Waveformparameters: Pressure,flow,volume,CO2,O2
andauxiliarypressure
Graphicscaling: Automaticscalingforoptimalsizeor independentscaling
Data: Controlparameters,patientdata,alarmsettingsandmessages
Statusindicator: Ventilationmode,batterylevel,clock
Favorites: 23Hyperlinkshortcutstochoosefrom 7selectableatonetime
Monitoring Accuracy**
Pressurereadings:±2cmH20
Volumereadings: ±10%or±1mL,whicheverisgreater (withproximalneonatalflowsensor) ±10%or±5mL,whicheverisgreater (nCPAP) ±10%or±15mL,whicheverisgreaterO2concentrationmonitor: ±3%
Delivery Accuracy**
Inspiredpressurecontrol: ±2cmH2O
Oxygen–Airmixing: ±3%V/Vofsetting
Tidalvolumedelivery: ±10%ofsettingor±1mL, whicheverisgreater (withproximalneonatalflowsensor) ±10%ofsettingor±5mL, whicheverisgreater
**Ventilationdeliveryspecificationsrequirements: •OperatingatEN794andASTMF1100patientconditions •Operatingat21°Candat1000mbarambientpressure •Allvolumesareatambienttemperatureandpressure,dry(ATPD)
Gas supply
Singlegasoperation: Yes
Emergencyairvalve: Built-in
Oxygen supply
Pressurerange: 240to641kPa/35to94psi
Flow: 160L/min
Air supply
Pressurerange: 240to641kPa/35to94psi
Flow: 160L/min
Environmental Specifications
Thermal
Operatingrange: 10°to40°C
Storagerange: –20°to65°C
Humidity
Operatingrange: 15to95%RHNon-condensing
Storagerange: 15to95%RHNon-condensing InaccordancewithIEC68-2-3
Vibration and shock
Randomvibration: 9.5grms@30minunpacked 2to5000Hz
Altitude
Operatingrange: –440to3565m/500to800mmHg
Storagerange: –440to5860m/375to800mmHg
Trends (continued)
Mini-Trendsparametersarebasedonthewaveformdisplayed: Paw(Ppeak,PplatorLeak) Flow(MVexp,RR) Volume(SpontMVorMechMV, SpontRRorMechRR) Paux(Ppeak) CO2(EtCO2) O2(EtO2,FiO2)
External Communications
Communicationports: Serialport(RS-232),RS-485port,RS-422port, 1USBport,Ethernetport,Compactflash cardsocket,nursecall
EView (optional)
DataAvailable: 10snapshots 7daysofventdata Optionalbreathtobreathwaveformdata
Electrical Specifications
Line supply
Linevoltage: 85to132Vac,47/63Hz 190to264Vac,47/63Hz
Powerconsumption: <200W
Battery supply
Back-upbattery:Built-in
Type: Leadacidgel
Batteryback-uptime: 120minutestypical,30minuteminimum, batteryfullycharged
GEHealthcareP.O.Box7550Madison,WI53707-7550U.S.A.
www.gehealthcare.com/respiratorycare
©2011GeneralElectricCompany–Allrightsreserved.
GeneralElectricCompanyreservestherighttomakechangesinspecificationandfeaturesshownherein,ordiscontinuetheproductdescribedatanytimewithoutnoticeorobligation.ContactyourGErepresentativeforthemostcurrentinformation.
GEandGEMonogramaretrademarksofGeneralElectricCompany.
AeronebisaregisteredtrademarkofAerogen,Inc.
Engström,Carestation,INviewandSpiroDynamicsaretrademarksofDatex-Ohmeda,Inc.
GEHealthcare,adivisionofGeneralElectricCompany.
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RSP-0149-03.11-EN-US