自己在网上翻译的-仅供参考Bear Cub 750 psv 新生儿儿童呼吸机

注册号 国食药监械 进 字 2009 第 3541936 号 生产地 美国 生产商 VIASYS RESPIRATORY CARE INC 适用范围 用于为肺功能受损需要呼吸治疗的体重 500g 以上的新生儿和体重不超过 30kg 的小儿患者 提供通气支持 性能及组成 产品由主机和电源线组成 呼吸频率 1 150bpm 吸气时间 0 1 3 0s 连续可调 吸气 流量 1 0 30LPM 吸气压力 0 72cmH2O 可调 氧浓度 21 100 触发灵敏度 0 2 5 0LPM 具有 呼吸暂停报警 高压报警 低分钟通气量报警 电池电量报警 电源故障报警 呼吸参数检测等功能 规格型号 Bear Cub 750 PSV 产品标准 售后服务机构 中国医药保健品有限公司 注册代理 伟亚医疗系统有限公司 美国伟亚美国伟亚 VIASYSVIASYS 医疗系统有限公司医疗系统有限公司 美国熊牌美国熊牌 750750 型呼吸机型呼吸机 性能和技术参数性能和技术参数 控控 制制 模式 流动循环 AC AC SIMV IMV SIMV PSV 流动循环 SIMV CPAP PSV 频率 1 150BPM 吸气时间 00ml PEEP 0 30cmH2O 吸气压力 0 72 cmH2O 手动呼吸 1 扶助灵敏度 0 20 5 0LPM 压力释放 15 75cmH2O 氧浓度 21 100 呼吸暂停报警 选配 5 10 20 或 30sec 监监 测测 呼吸频率 0 255BPM 患者监测 LED 分钟潮夕量 0 30 0L 潮夕量 吸气和呼气 0 500ml 管道峰值比例 0 99 吸气时间 0 1 3 10sec 呼气时间 0 99 9sec 呼吸比 9 9 1 1 9 9 吸气压力峰值 0 99 cmH2O 平均气道压 0 75 0cmH2O PEEP 0 30 0 cmH2O 空气压力 0 100PSIG 氧气压力 0 100PSIG 近似气道压力 标准 10 100cmH2O 时计 0 99999 小时 测试 按按钮 报报 警警 高频呼吸频率 3 255BPM 低 PEEP CPAP 5 30cm H2O 低吸气压力 0 25 高压限制 低 PEEP CPAP 低 PEEP CPAP 低分钟潮夕量 关 9 9L 患者管道 LED 开 关 循环失败 LED 开 关 低气体提供 LED 开 关 呼吸暂停 5 10 20 或 30sec 压力设置不可容性 LED 开 关 吸气压力延长 LED 开开 关关 流量传感器 LED 开 关 电池电量不足 LED 开 关 报警静音 60sec 报警声音 60 70dB 视频重置 按按钮 高压限制 10 75 cmH2O 电源 绿 红 VIASYSVIASYS 贝尔卡伯贝尔卡伯 750VS750VS 750PSV750PSV 1 1 特征 特征 贝尔卡伯机制处理 婴儿公斤 30 500 克救济与复苏器的 CFPR 常 流的压力 使一吸气压力出现缓解阀喷流的连续流动所施加的压力 道路 VIASYS 公司是表达 模式 极限是由机制 CFPR 与横向预置压应力 时间周期 的压力 在贝尔卡伯 II 型系统前 它实现了一公视中 总的贝尔卡伯 澳电 非易失性存储器 但是 每个开发时间不同 可操作性的缺乏统一的目的和交 换机的编排和分享的角色成为分开 它集成这些 这是 BearCub750VS 它聚在 一机 根据该机制 特别创新精神是没有看到 但它结合了的经历是培养了很 多年 是完成新 Mattick 技术及建立电子技术 是完成建成了高比例的产品与 波纹 随着图形显示选项 3 病人的把握是很容易的呼吸状况 2001 年 有了 进一步的改善和 PSV 模式加入成为 750PSV 750PSV 价格为 320 日元 2 2 演出演出 1 的模式 它可以使用 这是横向预置压应力模式完全 750VS 750PSV 阿 加拿大 通气 秋意通气 秋意 通气 埃因霍温 循环流动通气 流周期的 A C 埃因霍温 呼吸机通气 音量限制机制 呼气末正压 2 本近端达特 干工作的 Si 间隔时间 2 5 毫秒 最大进气流量 有源通风 30 防止山泥倾泻 埃因霍温 30 防止山泥倾泻计划 BPM 的数量最大的主动式通风 150 最大通气次数 150 的 BPM 3 3 控制电路 控制机制控制电路 控制机制 1 控制机制纲要 这取决于新 Mattick 控制机制中的气体 它依赖于微处理器的时序控制 不必 在做与以前的时代少 嘎 但这种压力是波纹 雅 流速波纹有平顺是 特有的模拟机制 而且也没有不自然的是特有的数字伺服 微处理器是摩托罗 拉 68HC11 分别是用于控制和监控机制 2 特性的力学机制 这是 CFPR 恒定流泄压 机制 获取呼阀一吸气 缓解压力 压力连续流动的 数量 对于单独的连续流能够被设置为业务及业务在摄入的情况下到期的情况 下 它有两个连续的流量调节机制 3 气体流量的测量 监测空气的通风量是热射线类型 为管之间安装的 Y 和平和气管 传感器中有 两个热射线 差异区分它的方向摄入量和温度每届满 这是 scalableness 在 0 2 的范围内 40LPM 很可能使用未经校对 因为它是记录一个校准达特的内部 ROM 中 4 进气阀 进气阀是一针形阀 期满有两种业务 进气流量控制 流动的案件业务 基地 和摄入的情况下 他们通过电磁阀改变控制这些 在每次 它是与变阻器 电 位器 和齿轮 它是和它讲述的是到 MPU 控制位置 5 截止阀 阿 Mattick 方法的新机械伺服机构用于一喷流阀 它的发展变化的压力 mechanicses 画中画压力和业务 PEEP 的压力 如对各商业案例中所摄取的过 期 电磁两个标准控制阀 它控制阀孔径呼气和吸气它控制了压力 它最不 izes 的摄入量的影响 患者届满的 它稳定画中画 PEEP 的压力 4 4 新新 MattickMattick 电路电路 图 新 Mattick BearCub750PSV 电路 的 O 2 过滤器 过滤器 非单向阀 止回阀 稳压器 海外要进入的气体 从空气中进入各2 搅拌机 海外被做和必须的 OBJ 解压缩的空气调节器 稳 定2 它在空气中搅拌器项 中 气体融通由两个止回阀 单向阀 当成为 一个传感器气体压力异常的管道的 O 2 空气进入气体压力进行监测 它调整到氧浓度为宗旨的果汁 但泄放阀 排气阀 用来维持在 3 30LPM 范 围这精度 30 它调节阀 连续控制流流动案件摄入流量控制阀 吸气 它调节阀 阀控制 基流不断流动案件到期的基流 这些都是电磁控制阀 流量控制电磁铁 和 切换 当 MPU 的感官 它释放的气体强制进大通过电磁阀担心控制 转储电磁 铁 并表示该患者电路期满 pleuropodium 封锁的是 它一 pH2O 气道压力低 于 5 泄压阀 调节阀泄压以上 与机械方法 它有可能为用户调整 15 75 pH2O 的机械背部措施提供进一步的安全性 清新的空气可以被吸入压力下 的负作者 3 pH2O 比这个阀门了 吸气压力是呼气流量阀在不断 这使得处理截断 它减轻压力阀以上的 PEEP 正 在不断的喷流阀 它是 喷流阀 呼气阀 画中画工程 与伺服控制机制压力 和 PEEP CPAP 治疗压力 标准压力是输入到压力腔的左侧阀的失效和实际呼 吸道输入到右厢房的 开放度的和阀门关闭的喷流被纠正基于这些压力的错误 倾向 新 Mattick 伺服 它将改变标准的压力 压力标准压力或画中画 的 PEEP CPAP 治疗压力标准压力 3 方向电磁控制阀 呼气电磁铁 这让 画中画压力和 PEEP CPAP 治疗的病人发生压电路 至于画中画压力的 PEEP CPAP 治疗压力阀由作出正压吸气压力阀 这是原则 控制压力 调整企业李回 压射流 遵守体积连接吸收的变化 由压力的振动 过期气体喷射抽吸机制是创业李编写的喷流阀 净化器 净化 orfice 提供近端压力传感器压力管 与清除样式管 近端气道 这种管 连接压力表 近端气道压力表 和压力传感器 近端压力传感器 5 5 控制软件控制软件 作者 每个功能的说明 1 触发公式 公式的流量触发公视是可能的 它可以设置 5 0LPM 灵敏度 0 2 范围内 2 的 A C 辅助 控制 横向预置压应力 连续流 压力减轻 通风给出每次检测到一个触发器 当没有 检测到触发 这是一套主动通风的变化给予每小时设定风 连续流可分别设置 的吸气 相和呼气相 它切换到呼气相当到达设定值时 设置音量限制 声音 报警 案件的 LED 的声音 750PSV 成为能作出这种报警器是成为了 3 通气 秋意 通气是一个可变时间的方法 有源通风是一样的一个横向预置压应力通风 C 的 没有需求流动特征 自发的 是呼吸机呼吸方面 音量限制可以增加 4 呼吸机 这是 CPAP 加上连续流 报警时发出警告 并检测到呼吸间断通风包含在备份 5 通气 埃因霍温 这是一套主动通风帮助横向预置压应力和自发的 呼吸是在埃因霍温帮助 音 量限制可以被添加到太 及时通风 它变风量循环量的情况 6 埃因霍温 这是埃因霍温机制作出 CFPR 差异 但在一个积极的 通风 C 的横向预置压 应力的方法是点摄入量并不首先如果没有触发 点的摄入量 峰值速率流量下 降到 10 的摄入量结束 音量限制可以加入 在呼吸间断的时间 报警声音 是通风包含在备份 7 循环流动的 A C 基本上 它是通风这是因为埃因霍温相同 但不通风在埃因霍温开始 如果没 有一个自发的 而一个自发呼吸 呼吸它是由每小时设置空气流动周期的变化 通风 即使事实并非如此 8 循环流动通气 至于秋意差分通气 这是一套主动通风做是由埃因霍温通风 在自发的 呼 吸方面 它是通气 9 音量限制 所添加的通风主动通风 哪种类型的 PSV 但摄入中止 以防止肺过度扩张时 风量达到了以通风可以是一套价值功能 它的压力和数量的通风换气然而 这 是当此功能的工作 操作此功能时 它有可能使不健全 不健全的报警 10 呼吸间断备份 它是有效的在 CPAP PSV 模式 报警转移到探空备用通风模式下 当检测呼吸 间断时间 面板选择与开关 5 10 20 30 秒 后 压力是由通风更改设置 每小时空气 设定值 6BPM 在 6BPM 时间段 当检测自发 呼吸 它 deadens 的声音 但谨慎的 LED 变得像它亮了起来 11 电池 这是有可能的操作约 30 分钟的内置电池 6 6 作业系统作业系统 图 经营 BearCub750PSV 小组 1 面板布局 它成为一个显示器 报警设置的顶尖 通风设置 2 设置的通风条件 它是通过新 Mattick 同时确认由压力表 气道压米 值类型的模拟机制画中画 压力和 PEEP CPAP 治疗压力 该基地是一个取水口的流量数字显示与但这不是立法院含义 是由仅仅是连接 控制机制的模拟电位器和正在做的数字显示唯一的数字 精度不高 但原来所 在的精度要求但部分 没有它 它可以在由进食时间 数字机顶盒和过期时间 每小时的空气变化 音量限制 因为他们 是电加工在看到一个数字显示 3 触发灵敏度 该电路的婴儿那里有许多漏洞要调整触发灵敏度 根据改变的变化的位置和呼 吸条件 这是很难理解的最优值 即在一般的感性数字设定 但在 750VS 一 进气流量由光柱显示 该值不超过 由于它集模拟立法院在看到了吧移动的 很容易调整到最佳水平 7 7 显示器 报警功能显示器 报警功能 1 显示器项目 它的变化 它每小时的换气次数 进食时间 到期时间 我提出 E 比率 一 吸气峰压 平均气道压力 空气压力管道 氧气管道压力 每分钟的过期卷 以风量通风 泄漏的数字显示百分比 管泄漏 2 报警设置 低的 PEEP CPAP 治疗压力 hypernoea 低吸气压力 吸气压力上限 每分钟 最低到期量 NADOWO 可以设置 背面板上的时间设置的呼吸间断有一个设 置开关 3 报警项目 该呼吸间断 电池电压下降时 气体压力管道发生故障 设备异常 患者电路 异常 设立延长一吸气 压力和矛盾的 Fluothane 先生的异常 平等 GAARU 8 8 显示功能显示功能 在主机的独立性 它是可以做到与监测项目 但与图形显示 该产品 这是共 同与 Bear 1000 的选项 流量 压力 3 波纹的唯一一个数字显示器力学 呼吸与容积环可以显示 9 9 病人电路组成 加湿器病人电路组成 加湿器 图 1996 04 03 BearCub750PSV 病人电路 结果显示在图中 1010 日常维护日常维护 1 Fluothane 先生 经过清洗 消毒或眼电图是在 DEISUO PA 的 对于一个时代最高为 50 不猜风格在传感器的压缩气体 校对是不必要的 2 喷流阀 图 结构图的喷流 BearCub750PSV 阀 组装一喷流阀体的消声 器和一个数字所示 它的决议 一洗 消毒每一位病人 呼气阀膜片交流时 承认损害 3 内置电池 但是 妈妈谁连接到电源插座不使用时最好做辅助电池充电的 独家货和交流 是必要的 如果一生中来 1111 定期检查定期检查 1 每月 它过压保护 业务 以资核对程序 这是指手册 2 6 个月 通过授权军人检查 3 一旦每 5000 小时或每年 它防止维修 4 发生在 10000 小时 3 它大修 1212 故障故障 1 喷流阀和抛光设计的喷流阀消声器 消声器 这是不是 多一点简单的 结构是可取的 2 没有创意的新颖性和新技术的呼吸模式等 VIASYSVIASYS BEARBEAR CUBCUB 750VS 50PSV750VS 50PSV 1 1 TheThe characteristiccharacteristic Figure Outward appearance photograph of BEAR CUB750 Bear Cub deals with the infant of 30 Kg of 500g with the resuscitator of the CFPR Constant Flow Pressure Relief mechanism to make an inspiratory pressure occur to in relieving a continuous flow in the pressure by the exhalation valve Way the VIASYS Inc is expressing the mode which is composed of CFPR mechanism with TCPL Time Cycle Pressure Limit In the Bear Cub II system of the ex model it realized PTV in the aggregate of Bear Cub CEM NVM 1 However each development time was different the unification of the operability lacked for its purpose and the arrangement of the switch and the sharing of roles became apart It integrated these and it is BearCub750VS that it gathered to one machine On the mechanism special spirit of innovation isn t seen but it combines a that the experiencing which was cultivated for many years is done new Mattick technology and an established electronic technology and is built into the product with high percentage of completion With the option 3 corrugation graphic display the grasping of the respiratory condition of the patient is easy In 2001 it was improved and PSV mode was added to becoming 750PSV 750PSV is 3 200 000 yen of price 2 2 TheThe performanceperformance 1 The mode that it is possible to use It is TCPL mode completely 750VS 750PSV A C A C SIMV IMV SIMV IMV SIMV PSV Flow Cycle SIMV Flow Cycle A C PSV CPAP CPAP The Volume limit mechanism PEEP 2 This proximal dater The si stem operation interval time 2 5ms The maximum intake gas flow rate The active ventilation 30LPM PSV 30LPM The number of the maximum active ventilations 150 BPM The maximum SIMV number of times 150 BPM 3 3 TheThe controlcontrol circuit circuit thethe controllingcontrolling mechanismmechanism 1 The outline of the controlling mechanism It depends on the new Mattick mechanism in the gas control and it depends on MPU in the timing control Having to do with a previous era in to be few GA but this is pressure corrugated YA The flow rate corrugation has the smoothness which is peculiar to the analog mechanism and there is not unnaturalness which is peculiar to the digital servo MPU is Motorola 68HC11 is used for Controller and the Monitor mechanism respectively 2 The characteristic of the mechanical mechanism It is the CFPR Constant Flow Pressure Relief mechanism which gets an inspiratory pressure by relieving a continuous flow in the pressure by the exhalation valve For the separate continuous flow quantity to be able to be set to the business and the business in case of the expiration in case of intake it has two continuous flow adjustment mechanisms 3 The gas flow rate measurement An air quantity of ventilation monitor is a heat ray type and is installed between the Y peace and the tracheal tube There are two heat rays in the sensor It distinguishes between the direction of intake and the expiration with each temperature difference It is scalableness in the range of 40LPM from 0 2 It is possible to use without proofreading because it is recording a calibration dater to the inner ROM 4 The intake valve The intake valve is a needle valve There are two of the business the intake gas flow rate control in case of business Base Flow and intake in case of the expiration and they are changed by Solenoid controlled valve by these In each it is connected with rheostat potentiometer and the gear and it is and it tells the position of the control to MPU 5 The expiration valve A mechanical servomechanism by the new Mattick method is used for an exhalation valve It changes two standard pressure developmental mechanicses the PIP pressure of the business and the PEEP pressure of the business in case of the expiration in case of intake by Solenoid controlled valve it controls the aperture of the exhalation valve and it controls an inspiratory pressure It least izes the influence of the intake and the expiration of the patient and it stabilizes PIP PEEP pressure 4 4 TheThe newnew MattickMattick circuitcircuit Figure New Mattick circuit of BearCub750PSV The O2 The filter filter the non return valve check valve the regulator O to be of the gas which entered from the Air entry in each2 The blender O to be OBJ DO and to be decompressed in Air regulator and to stabilize2 It is in Air blender in the entry Accommodated with gas by two non return valves check valve when becoming one gas with the abnormality of the plumbing The O2 Air entry gas pressure is monitored with the pressure transducer It adjusts to the oxygen concentration for the purpose by the blender but bleed valve bleed valve is provided to maintain this precision to 30 in the range of 3 30LPM It adjusts a continuous flow in case of intake with flow control valve inspiratory flow control valve It adjusts a continuous flow in case of the expiration by base flow valve base flow control valve These are Solenoid controlled valve flow control solenoid and switch over When MPU senses it releases compulsorily in the intake gas big worrying by Solenoid controlled valve dump solenoid and saying the expiration pleuropodium of the patient circuit was blockaded it does an airway pressure below 5 噋 H2O Pressure relief valve adjustable over pressure relief valve with the mechanical method which it is possible for the user to adjust to the mechanical back in 15 75 噋 H2O is provided as further security measures The fresh air can be breathed under the negative pressure of 3 噋 H2O than this valve too The inspiratory pressure is an exhalation valve in the continuous flow and makes with blocking off It relieves pressure above being constant by the exhalation valve which is PEEP valve Exhalation valve exhalation valve works as the servo control mechanism with PIP pressure and PEEP CPAP pressure Standard pressure is inputted to the chamber of the expiration valve in the left side and an actual airway pressure is inputted to the chamber in the right The degree of the opening and shutting of an exhalation valve is corrected based on these pressure errors the inclination The new Mattick servo It changes standard pressure to the PIP pressure standard pressure or the PEEP CPAP pressure standard pressure by 3 direction Solenoid controlled valve exhalation solenoid and it makes PIP pressure and PEEP CPAP pressure occur to the patient circuit As for the PIP pressure PEEP CPAP pressure is made with PEEP valve by inspiratory pressure valve This is the principle which controls pressure adjusting the back pressure of jet venture Lee compliance volume is connected to absorb the vibration of the pressure by the change An expiration gas suction mechanism by jet venture Lee is prepared by the exhalation valve Purge regulator purge orfice supplies proximal pressure sensor tube proximal airway pressure tube with the purge style This tube is connected with pressure gage proximal airway pressure gauge and pressure transducer proximal pressure transducer 5 5 TheThe controlcontrol softwaresoftware The explanation of the each function 1 The trigger formula PTV of the flow trigger formula is possible It is possible to set sensitivity in the range of 0 2 5 0LPM 2 A C Assist Control TCPL the continuous flow pressure relieving ventilation is given every time it detects a trigger When not detecting a trigger an active ventilation is given by the set air changes per hour The continuous flow can be separately set by the inspiratory phase and the expiratory phase It switches over to the expiratory phase when reaching a set value when setting a volume limit The alarm of the sound and the LED of the case sounds 750PSV became able to make this alarm to be becoming off 3 SIMV IMV SIMV is a variable time method The active ventilation is the same as A C in the TCPL ventilation There is not a demand flow feature The spontaneous respiration aspect is CPAP Volume Limit can be added 4 CPAP It is CPAP by the continuous flow An alarm warns when detecting an anaerosis and is included in the back up ventilation 5 SIMV PSV An active ventilation is helped in TCPL and a spontaneous respiration is helped in PSV Volume Limit can be added to the ventilation too in time It becomes quantity ventilation Volume Cycle to the case 6 PSV It is PSV which is made with CFPR mechanism The difference with the active ventilation of A C of the TCPL method is the point which intake doesn t begin with if there is not a trigger the point that the intake peak rate of flow fell to the 10 in the ending of intake Volume Limit can be added At the time of the anaerosis an alarm sounds and is included in the back up ventilation 7 Flow Cycle A C Basically it is the ventilation which is the same as PSV but the ventilation doesn t begin in PSV if there is not a spontaneous respiration in it whereas a spontaneous respiration is ventilated by the setting air changes per hour by Flow Cycle A C even if it is not 8 Flow Cycle SIMV As for the difference with SIMV IMV an active ventilation is done by the ventilation of PSV In the spontaneous respiration aspect it is CPAP 9 Volume Limit Of the ventilation of the active ventilation which type of PSV however intake aborts to prevent a pulmonary over expansion when the taking air quantity of ventilation reaches a set value by the feature which can be added It is pressure ventilation and quantity ventilation however it is when this feature operates When this feature is operated it is possible to make not sound and not sound an alarm 10 The anaerosis back up It is valid in the CPAP PSV mode The alarm shifts to the sounding back up ventilation mode when detecting anaerosis time choosing with switch of 5 10 20 30 seconds the rear panel Pressure is ventilated by the set air changes per hour the set value is 6BPM at the time below 6BPM When detecting a spontaneous respiration it deadens the sound but the LED of the caution becomes as it lit up 11 The battery It is possible to operate for about 30 minutes by built in battery 6 6 TheThe operationoperation systemsystem Figure Operating panel of BearCub750PSV 1 The panel layout It becomes a monitor display alarm setting ventilation setting from the finial 2 The setting of a ventilation condition It does PIP pressure and PEEP CPAP pressure by the analog mechanism of the new Mattick type while confirming a value by the manometer the airway pressure meter The base flow is a digital display with the intake flow but this is not the meaning which is set by merely connecting the control of the analog mechanism to the potentiometer and being doing a digital display only digital ly Precision isn t high but of the part where precision is originally required however there is not it It is possible to be set in the digital by intake time and expiration time an air changes per hour a volume limit because they are electrically processed while seeing a numeral display 3 The trigger sensitivity The circuit for the infant where there are many leaks must readjust trigger sensitivity according to the change of the change of position and the respiratory condition It is difficult to understand optimal value being sensuous in the general digital setting but in 750VS an intake flow rate is displayed by the bargraph The value isn t over Because it sets analog ly while seeing the move of the bar it is easy to adjust to the optimum level 7 7 TheThe monitor monitor thethe alarmalarm functionfunction 1 The monitor item It changes and it puts on an air changes per hour intake time expiration time I E ratio a peak inspiratory pressure an average airway pressure air plumbing pressure oxygen plumbing pressure an expired volume per minute a taking air quantity of ventilation leak percentage tube leak by the numeral display 2 The alarm setting The low PEEP CPAP pressure the hypernoea the low inspiratory pressure the inspiratory pressure upper limit the expired volume per minute minimum NADOWO can be set The back panel the setting of anaerosis time has a setting switch 3 The alarm item The anaerosis the battery voltage decline the plumbing gas pressure malfunction the equipment abnormality the patient circuit abnormality the setting to extend an inspiratory pressure with and to contradict it Fluothane Sir s abnormality equal GAARU 8 8 TheThe displaydisplay featurefeature In the independence of the main unit it is possible to do onl