system m insevice overview 11.8.11

Upload: travis-day

Post on 05-Apr-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/2/2019 System M Insevice Overview 11.8.11

    1/26

  • 8/2/2019 System M Insevice Overview 11.8.11

    2/26

    The System M Monitors Critical Care ParametersNeeded to Make CriticalClinical Decisions During

    ECMO and Perfusion Cases.

    The system continuously measures:

    SvO2 SaO2

    Hematocrit/Hemoglobin Arterial flowVenous flow Cardiac IndexVenous differential Micro-emboliPO2 PCO2

    Temperature

    This is All Done in Real-time Using Non-invasiveTechnology.

  • 8/2/2019 System M Insevice Overview 11.8.11

    3/26

    Key Features:

    Non-invasive.

    Can be used on any tubing.

    Real-time, not a trending device.

    Accurate with no calibration needed.

    Portable with one minute set-up and

    quick release mounting system.

    No disposable costs.

  • 8/2/2019 System M Insevice Overview 11.8.11

    4/26

    No Disposables:

    Quick Set-up With Easy to Clip On Non-Invasive

    Sensors

    Flexibility in Placement of the Sensors On theTubing

    No Flow Disturbances

    Decreased Risk of Infections and Clotting

    Minimal to No Calibration Needed

  • 8/2/2019 System M Insevice Overview 11.8.11

    5/26

    Quick

    ConnectClamp

    Memory Card

    Flow Connector

    Power &Communication

    PortsFlow Connector

    Monitor Overview

  • 8/2/2019 System M Insevice Overview 11.8.11

    6/26

    Non-Invasive Clip-on Technology

  • 8/2/2019 System M Insevice Overview 11.8.11

    7/26

    M4 System Sensors:

    Gas block:- FiO2 & FiCO2- Gas Flow & T

    CO2 probeVenous

    O2Saturation

    Sensor

    Hematocrit/HemoglobinAnd Arterial

    O2 Saturation Sensor

    Flow Sensor andBubble Detector

  • 8/2/2019 System M Insevice Overview 11.8.11

    8/26

    The Parameters Measured By the

    System M are Considered CriticalCare Parameters.

    Therefore it is critical that changesin these parameters be identified

    and acted on quickly. The ability tomeasure these parameters in real-

    time is therefore an obviousbenefit.

  • 8/2/2019 System M Insevice Overview 11.8.11

    9/26

    M4 System PerformanceSpecifications

  • 8/2/2019 System M Insevice Overview 11.8.11

    10/26

  • 8/2/2019 System M Insevice Overview 11.8.11

    11/26

    Saturation/Hct sensorcable should beconnected to the Left sideof the monitor.

    The sensor cable will split

    into a venous sensor andan arterial sensor.

    Saturation / Hct sensor

  • 8/2/2019 System M Insevice Overview 11.8.11

    12/26

    Attach the requiredsize of pipe-clip onthe tubing.

    Ensure the retentionclips are fullyengaged.

    Insert the sensorbetween theretention hooks

    until the sensor issecure.

    To remove thesensor, hold thetubing as shown andsqueeze the

    retention hooks untilthe sensor can bepulled free or thepipe-clip can beremoved for re-use.

  • 8/2/2019 System M Insevice Overview 11.8.11

    13/26

    Ensure that both thetubing and sensor

    assembly are free ofwriting, dust, and any

    form of contamination.

    Open the lid and slidethe tubing into the

    sensor.

    Warning:Only use Isopropyl Alcohol solution to clean the HCT/S02 sensor.Do not use water based or petroleum based lubricants. Sensor calibration is

    determined by tubing dimensions. Using on tubing other than the specified sizegenerally yields inaccurate measurements and may cause erratic zero baseline drift.

  • 8/2/2019 System M Insevice Overview 11.8.11

    14/26

    Ensure the sensor isfree of dirt and

    contamination.

    Ensure the sensoris connected

    In the direction of

    the flow.

    As with the saturation sensor the size of the flow sensor mustmatch the tubing size on which it is placed. When flow is at zerothe system can be zeroed out for more accuracy.

  • 8/2/2019 System M Insevice Overview 11.8.11

    15/26

  • 8/2/2019 System M Insevice Overview 11.8.11

    16/26

    The Gas MeasurementModule is positionedbetween the Gas blender andthe Oxygenator. This sensormonitors the gas deliveredto the oxygenator.

    Ensure an anti-bacterial filteris positioned between theGas Measurement Moduleand the oxygenator.

    Gas inlet

    Gas outlet

  • 8/2/2019 System M Insevice Overview 11.8.11

    17/26

    Ensure the gas module is

    mounted in a horizontal attitude. Mount the gas measurement

    module via its pole clamp in theorientation shown below.

    Connect the gas measurement

    module electrically to the M3monitor by inserting the leadfrom the M3 monitor into the

    connector indicated.

    MonitorConnector

  • 8/2/2019 System M Insevice Overview 11.8.11

    18/26

    Connect the exit CO2sensor to the Gas out-flowsite of the oxygenator.

    Keep the sensor as upright

    as possible (as shown inpicture) to stop watercondensation from enteringthe sensor.

    Connect to OxyGas outlet Port.

  • 8/2/2019 System M Insevice Overview 11.8.11

    19/26

    Connect the exit CO2

    sensor electrically to thegas measurement moduleby inserting the connectorinto the socket indicated.

    Do not block or restrict theexit port.

    Exit CO2Connector

  • 8/2/2019 System M Insevice Overview 11.8.11

    20/26

    System M Monitors Upper Display Overview

    GraphedParameters

    Mute Button

    DisplayedParameters

  • 8/2/2019 System M Insevice Overview 11.8.11

    21/26

    Display of Size of SensorsAttached to the System.

    Graph ControlsStop/RecordButton

    Battery andPower Display

    Graph TimeScale Display

    SD Card Information

    Parameter and AlarmSet-up Button

    Patient Details Set-upButton

    System Ms Lower Display Overview

  • 8/2/2019 System M Insevice Overview 11.8.11

    22/26

    Key Points When Using System M

    Review User and Service Manual

    The SD card does not need to be in the system when doinga case but it can be used to record the case and then

    downloaded to a spreadsheet at a later date.

    When Connecting the Sensors and the Power Cable to theMonitor Always Line the Dot on the Connector to the Dot onthe Monitor.

  • 8/2/2019 System M Insevice Overview 11.8.11

    23/26

    Key Points When Using System M

    Clean Tubing and Hematocrit probe with alcohol anddo not place sensor over writing. Do not put gel orVaseline on the Saturation and Hematocrit sensors.

    Use the zero out button on the set-up for accuracywhen using the flow sensor. This should be done whenflow is basically zero. Vaseline (not water based gel)may be used on the flow sensorfor coupling.

  • 8/2/2019 System M Insevice Overview 11.8.11

    24/26

    Key Points When Using System M

    No Calibration is needed but you may want toSynchronize to the tubing or blood gas.

    Sensor size should be checked to make sure it is theappropriate size for the tubing. The size of the sensorthat is currently connected to the system will bedisplayed at the bottom of the screen.

    The Record button will start and stop the readingsduring a case.

  • 8/2/2019 System M Insevice Overview 11.8.11

    25/26

    The HCT/Saturation cable is fiber optic and must at alltimes be handled with care. Do not exceed the minimumbend radius of 50 mm.

    Battery power lasts approximately 30 minutes.Keep the monitor plugged in when not in use inorder to prevent draining the battery.

    Three exclamation marks over a reading alert the userto the fact that the system is not getting an accuratereading for various reasons. A code will be displayedunder the exclamation marks. A list of codes can befound in the user manual with explanations of

    possible errors.

    Key Points When Using System M

  • 8/2/2019 System M Insevice Overview 11.8.11

    26/26

    Thank you!