morphee, an icu taking off ! service de santé des armées jean-pierre tourtier, thomas leclerc,...
TRANSCRIPT
MORPHEE
an ICU taking off
Servicede Santeacutedes Armeacutees
Jean-Pierre Tourtier Thomas Leclerc Marc Borne
Military hospital Val-de-Gracircce Paris
France
Medical combat support in the French armed forces
Forward medical management
Providing immediate care for the survival of injured soldiers
Forward surgical management
A forward deployed operating theater aimed at stabilization
Early aeromedical evacuation
In order to provide definitive treatment as early as possible in a rear hospital
Aeromedical evacuation
A modern concept with military and civilian implementations
N Engl J Med 2007 356 262-70
When the motto isFast and far away
Servicede Santeacutedes Armeacutees
French deployments year 2007
GMC BouffardDjibouti
Aeromedical evacuations
A dimensioning component for the
foreign deployment
of French armed forces
Role 1 Role 2 Role 3 Role 4
BattalionAid station
Theaterhospital
Emergent surgical stabilizationMEDEVAC
Definitive treatment
Forwardsurgical
team Tertiarycare
hospitalTRIAGE
TACTEVAC
STRATEVAC
Forward medical management
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Medical combat support in the French armed forces
Forward medical management
Providing immediate care for the survival of injured soldiers
Forward surgical management
A forward deployed operating theater aimed at stabilization
Early aeromedical evacuation
In order to provide definitive treatment as early as possible in a rear hospital
Aeromedical evacuation
A modern concept with military and civilian implementations
N Engl J Med 2007 356 262-70
When the motto isFast and far away
Servicede Santeacutedes Armeacutees
French deployments year 2007
GMC BouffardDjibouti
Aeromedical evacuations
A dimensioning component for the
foreign deployment
of French armed forces
Role 1 Role 2 Role 3 Role 4
BattalionAid station
Theaterhospital
Emergent surgical stabilizationMEDEVAC
Definitive treatment
Forwardsurgical
team Tertiarycare
hospitalTRIAGE
TACTEVAC
STRATEVAC
Forward medical management
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Aeromedical evacuation
A modern concept with military and civilian implementations
N Engl J Med 2007 356 262-70
When the motto isFast and far away
Servicede Santeacutedes Armeacutees
French deployments year 2007
GMC BouffardDjibouti
Aeromedical evacuations
A dimensioning component for the
foreign deployment
of French armed forces
Role 1 Role 2 Role 3 Role 4
BattalionAid station
Theaterhospital
Emergent surgical stabilizationMEDEVAC
Definitive treatment
Forwardsurgical
team Tertiarycare
hospitalTRIAGE
TACTEVAC
STRATEVAC
Forward medical management
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
French deployments year 2007
GMC BouffardDjibouti
Aeromedical evacuations
A dimensioning component for the
foreign deployment
of French armed forces
Role 1 Role 2 Role 3 Role 4
BattalionAid station
Theaterhospital
Emergent surgical stabilizationMEDEVAC
Definitive treatment
Forwardsurgical
team Tertiarycare
hospitalTRIAGE
TACTEVAC
STRATEVAC
Forward medical management
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Aeromedical evacuations
A dimensioning component for the
foreign deployment
of French armed forces
Role 1 Role 2 Role 3 Role 4
BattalionAid station
Theaterhospital
Emergent surgical stabilizationMEDEVAC
Definitive treatment
Forwardsurgical
team Tertiarycare
hospitalTRIAGE
TACTEVAC
STRATEVAC
Forward medical management
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Role 1 Role 2 Role 3 Role 4
BattalionAid station
Theaterhospital
Emergent surgical stabilizationMEDEVAC
Definitive treatment
Forwardsurgical
team Tertiarycare
hospitalTRIAGE
TACTEVAC
STRATEVAC
Forward medical management
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
One mission a week
48 47
6366
58
52
4041 41
54
47
36
52
61 59
45
36
0
20
40
60
80
1991 1993 1995 1997 1999 2001 2003 2005 2007
MEDEVAC of a singleCritically injured patient
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MORPHEE Answering a need
Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MEDEVAC of multipleCritically injured patients
MORPHEE
MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC
Servicede Santeacutedes Armeacutees
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MORPHEE A vector C 135 FR
Maximal range
bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability
bull Maximal range able to reach all theaters where French forces are currently deployed
Servicede Santeacutedes Armeacutees
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MORPHEE A technical platform
meeting medical and aeronautical standards
Used on board a non dedicated aircraft
Ready to take off at H24 or earlier
Autonomous for 10 hours of uninterrupted flight
Servicede Santeacutedes Armeacutees
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
bull Patient transportation modulesbull Intensive care modules (ICM)
bull Light care modules (LCM)
bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area
MORPHEE technical platformServicede Santeacutedes Armeacutees
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Intensive Care Module
Accomodating one mechanically ventilated patient
Servicede Santeacutedes Armeacutees
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Chosen ventilator Pulmonetics LTV 1000trade
Weight 6 Kg
Volume 6 dm3
Electrical autonomy 60 min
Power supply 220 V AC or 12 V DC
Cycles delivered volume or pressure assist or control
All corresponding modes including spontaneous ventilation
Mechanical PEEP machine-independent pneumatical expiratory valve
Automated altitude compensation
0
100
200
300
400
500
600
700
800
900
90 m 1500 m 2500 m 3000 m
700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA
PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
(FiO2 = 50 )(FiO2 = 50 )
0102030405060708090
100
90 m 1500 m 2500 m 3000 m
FiO2 = 21FiO2 = 50 FiO2 = 90
PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m
Servicede Santeacutedes Armeacutees
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
ECPAD
Two patients with IV therapeutics and oxygen
Light care module
A modifiable module
Servicede Santeacutedes Armeacutees
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Logistical moduleTechnical furniture
(racks lab and preparation table)
Transforming an aircraft cabin into a functional care oriented space
Servicede Santeacutedes Armeacutees
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer
MORPHEEmedical team
12 PAX trained to working with MORPHEEincluding in flight training
Servicede Santeacutedes Armeacutees
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Medical teamgathering
MORPHEE organization
Mounting Medical corps
Mounting Air force
Briefing Cabinsafety
6 h + 2h
H18H14 H23
Flight
Tanking
M M
1h 3h 4 h 4h 2h 1h2h1h
H0 H6
C135Rest
Paris
Marseille
MetzBrest
Lyon
Toulon
Bordeaux
Servicede Santeacutedes Armeacutees
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MORPHEEServicede Santeacutedes Armeacutees
4 heavily injured amp 8 less heavily injured patients
Configuration 14 Intensive Care modules
4 Light Care Modules
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Configuration 2 6 Intensive Care
modules
Servicede Santeacutedes Armeacutees MORPHEE
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MORPHEE=
Combined operational function
(Air force amp Medical corps)
Available since September 1st 2006
Servicede Santeacutedes Armeacutees
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Kosovo March 18th 2008Servicede Santeacutedes Armeacutees
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Afghanistan August 19th-20th 2008
Servicede Santeacutedes Armeacutees
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
MORPHEE Light Care Module on board an AIRBUS A 310
Expected MRTT
Airbus A 400 M
The future of MORPHEEServicede Santeacutedes Armeacutees
Thank you for your attention
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Thank you for your attention
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Transall C-160 MedEvac
PTE 2
PTE 1
Carg
o d
oor
PTE 3
Loading plan
3 PTEs
8 stretchers German Airforce Tacevac
Servicede Santeacutedes Armeacutees
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
RESERVOIR
PATIENT
AIR AMBIANTFILTRE
Cd valve proportionnelle (INS EXP)Commande FIO2
MonitoragePression Spiro
a11
a22
3a34a4
b1b2
b3b4
56
78
Vcc1
0
Masse
0
BATTERIE
90 240v
TURBINE
MOTEUR
SILENCIEUX
02
Cd EV
cd PEP
Piston cdboucle
Valve exppneumatique
Branche inspiratoire Pulmonetics LTV 1000trade
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Volume minute de consignereacutegleacute au sol
Volume minute obtenuen altitude Influence de lrsquoaltitude sur
le volume courant de consigne des ventilateurs volumeacutetriques
Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Vt deacutelivreacutes par le T BirdTM
avec et sans correction altimeacutetrique(FiO2 = 50 )
0
100
200
300
400
500
600
700
800
90 m 1500 m 2500 m 3000 m
Altitude
Vt
deacutelivreacute 700 ml
400 ml700 ml400 ml
___ avec correction altimeacutetrique
___ sans correction altimeacutetrique
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM
avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique
0
20
40
60
80
100
120
90 m 1500 m 2500 m 3000 m
sans correctionavec correctionsans correctionavec correctionsans correctionavec correction
FiO2 reacutegleacute 90
FiO2 reacutegleacute 50
FiO2 reacutegleacute 21
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
- Slide 24
- Slide 25
- Slide 26
- Slide 27
- Slide 28
- Slide 29
- Slide 30
- Slide 31
- Slide 32
-
Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators
in a hypobaric chamber (SSA research project)
Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar
Volume control ventilation
Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90
Simulating pathological conditions
Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O
Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O
Manomegravetre
VENTILATEUR
Meacutelangeur Turbine
MONITEURO2
21
ANALYSEUR de GAZParamagnetique
PNEUMOTACHOGRAPHE
SPIRO
SIMULATEUR de POUMONS ADULTE
Oscilloscope
Ordinateur
Imprimante
C
R
POMPEA
VIDE
O2
ALTITUDE cabinede 90 m agrave 3000m
PRESSION de1008 agrave 700 mbarsMicro Micro
Moteur
CAISSON HYPOBARE
MATERIEL du LAMAS MATERIEL de lECMSSA
Servicede Santeacutedes Armeacutees
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