Analizador de Respiradores
Analizador de Respiradores
Analizador de Respiradores
TEST SYSTEM
OPERATOR’S MANUAL
OPERATOR’S MANUAL
Caution
TSI flowmeters are not medical devices under FDA 510(k) and in no situation should be
used for human measurements.
i
CASE OF SOFTWARE, SELLER WILL REPAIR OR REPLACE DEFECTIVE SOFTWARE OR IF UNABLE TO
DO SO, WILL REFUND THE PURCHASE PRICE OF THE SOFTWARE. IN NO EVENT SHALL SELLER BE
LIABLE FOR LOST PROFITS, BUSINESS INTERRUPTION, OR ANY SPECIAL, INDIRECT,
CONSEQUENTIAL OR INCIDENTAL DAMAGES. SELLER SHALL NOT BE RESPONSIBLE FOR
INSTALLATION, DISMANTLING OR REINSTALLATION COSTS OR CHARGES. No Action, regardless of
form, may be brought against Seller more than 12 months after a cause of action has accrued. The goods
returned under warranty to Seller's factory shall be at Buyer's risk of loss, and will be returned, if at all, at
Seller's risk of loss.
Buyer and all users are deemed to have accepted this LIMITATION OF WARRANTY AND LIABILITY, which
contains the complete and exclusive limited warranty of Seller. This LIMITATION OF WARRANTY AND
LIABILITY may not be amended, modified or its terms waived, except by writing signed by an Officer of Seller.
Service Policy
Knowing that inoperative or defective instruments are as detrimental to TSI as they are to our customers, our
service policy is designed to give prompt attention to any problems. If any malfunction is discovered, please
contact your nearest sales office or representative, or call TSI's Customer Service department at (800) 874-
2811 / (1) 651 490-2811 (USA and International) or TSI Instruments in UK at: +44 (0) 1494 4 59200.
Trademarks
®
Certifier is a registered trademark of TSI Incorporated.
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4 MAINTENANCE ...................................................................................................... 39
4.1 Recharging the Batteries (as required) ......................................................... 39
4.2 Replacing the Oxygen Sensor ...................................................................... 39
4.3 Cleaning (as required) ................................................................................... 39
4.4 Factory Calibration (recommended yearly) ................................................... 40
4.5 Return Procedure .......................................................................................... 40
5 SPECIFICATIONS................................................................................................... 41
5.1 Physical ......................................................................................................... 41
5.2 Environmental ............................................................................................... 41
5.3 Power ............................................................................................................ 41
5.4 Data Transfer and Storage............................................................................ 42
5.5 Test Measurements (See notes at end of section. See Table 3 for
symbol definitions.) ....................................................................................... 42
5.6 Calibration Recommendations ...................................................................... 45
5.7 Compliance and Approvals ........................................................................... 45
APPENDIX A DATA FILE FORMATS ......................................................................... 47
LIST OF FIGURES
Figure 1. Certifier® FA Test System High Flow Standard Kit (4080) ............................... 2
Figure 2. Certifier® FA Test System Low Flow Module Kit (4082) ................................... 4
Figure 3. Certifier® FA Test System Oxygen Sensor Kit (4073) ...................................... 4
Figure 4. Certifier® FA Test System Extra Battery and Charger Kit (1208061) ............... 5
Figure 5. Interface Module ............................................................................................... 7
Figure 6. Back of Interface Module .................................................................................. 8
Figure 7. High Flow Module (arrow on module indicates positive flow direction) ........... 9
Figure 8. Low Flow Module .............................................................................................. 9
Figure 9. Oxygen Sensor Kit ............................................................................................ 9
Figure 10. Connecting the Interface Module to a Flow Module ..................................... 11
Figure 11. Installing a Flow Module into the Circuit for Measuring Bi-directional
Flow (flow direction Arrow should be towards test lung) .............................. 12
Figure 12. Test Circuit for Bi-Directional Flow ............................................................... 13
Figure 13. Removing Coupling....................................................................................... 14
Figure 14. Interface Module Keypad .............................................................................. 14
Figure 15. Example of Parameter Screen ...................................................................... 15
LIST OF TABLES
Table 1. Certifier® FA Test System Parts List ................................................................. 3
Table 2. Keypad Functions ............................................................................................ 14
Table 3. Parameters (parameter list changes depending on module attached) ........... 20
Table 4. Troubleshooting the Certifier® FA Test System............................................... 35
Table 5. Cleaning Recommendations ........................................................................... 39
Contents v
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Interface Module The keypad and touch screen display allow you to select test
measurements and units for display. The Interface Module
connects to the High or Low Flow Module.
High Flow Module Measures air, oxygen (O2), nitrogen (N2) and carbon dioxide
(CO2) flow rate over a range of 0 to 300 standard liters per
minute (0 to 40 standard L/min for CO2). A 150 PSI (10 Bar)
gauge transducer, a barometric pressure transducer, and a
150 cm H2O differential pressure transducer are also in the
High Flow Module.
Low Flow Module Measures air, O2, N2, CO2 and nitrous oxide (N2O) flow rate
over a range of 0.01 to 20 standard L/min with greater
accuracy than the High Flow Module at low flow rates.
Oxygen Sensor Used with the High Flow module, allows the High Flow Module
to measure O2 concentration and other measurements for any
mixture of air and O2.
You can connect or disconnect the flow modules and oxygen sensor at any time during
normal operation without interrupting the operation of the instrument.
Lithium-Ion batteries or an AC adapter can be used to power the test system.
WARNING
To avoid the risk of explosion, do not use in the presence of flammable anesthetic
gases.
Only TSI qualified and trained service technicians are authorized to service the
Certifier® FA Test System.
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Caution
To avoid inaccurate test readings, do not obstruct tubing or inlet or exhaust ports,
and always use dry gas.
To avoid damage to the Certifier® FA Test System components, always use
bacteria filters upstream of the flow modules, and always cap flow module ports
when not in use.
The Certifier FA Plus is not a medical device under the Medical Device Directive or
FDA 510(k) and in no situation should be used for human measurements.
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14 18
10
12 2
16 3
19
15
1
13 9 4 5 6
8 17 7
®
Figure 1. Certifier FA Test System High Flow Standard Kit (4080)
Item Replacement
Description Quantity
No. Part Number
1 Interface
1 Modulea 4088 1
b
2 High
2 Flow Module 4081 1
3 3
Bacteria filter, 22-mm 22-mm male/female, for use 1602341 1
with High Flow Module
4 7
Adapter, 22-mm 6-mm (for interfacing High Flow 1102091 2
Module to Low Flow filter)
5 5
Adapter, 15-mm ID 22-mm OD 1102093 1
6 Airway pressure fitting with screen 1611330 1
tubing, silicone, /8-in. ID ¼-in. OD
1
7 9
Pressure 3002053 1
48-in. (3.2 mm ID 6.4 mm OD 122 cm)
8 Velcro strap for use on High Flow Module 2913133 1
9 Adapter, high pressure port 1611221 1
10 Cable, flow module 1040219 1
11 Soft
4 carrying case 1319289 1
12 Power supply 90/260 VAC to +12 VDC 2613237 1
13 Stylus 1319420 2
®
14 Certifier FA Test System Operator’s Manual 1980560 1
15 Battery—Lithium-Ion SBL-160 1208056 1
16 Connector, four types:
AC NORTH AM./IEC320, right angle 1302013 1
AC EURO/IEC320, right angle 1302014 1
AC UK/IEC320 fuse, right angle 1302015 1
AC AUST/IEC320, right angle 1302025 1
17 SD flash memory card 1500108 1
18 Protective Rubber boot for Interface module 6001503 1
19 Computer Cable—USB standard A to mini B 1303754 1
a
If ordering a 4088 for replacement, items 10 through 19 are included.
b
If ordering a 4081 for replacement, items 3 through 9 are included
1: Introduction 3
21 23 24
20 22
Item Replacement
Description Quantity
No. Part Number
27
25
26
29 28
Figure 4. Certifier® FA Test System Extra Battery and Charger Kit (1208061)
Item Replacement
Description Quantity
No. Part Number
Extra Battery and Charger Kit (optional kit – part number 1208061)
1: Introduction 5
1.2 Glossary
These labels, terms, and symbols appear on the Certifier® FA Test System:
Refer to manual: see Certifier® FA Test System Operator’s Manual for
important information.
CE marking of European Conformity for the Low Voltage Directive (LVD)
and the Directive for Electromagnetic Compatibility (EMCD).
1: Introduction 7
Module B Connector
Module A Connector
(not used)
USB Connector
SD Card Slot
Wrist Strap
Battery Cover
DC
Power
Input Flip Out Stand
1: Introduction 9
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Caution
®
To avoid damage to the Certifier FA Test System components, always use bacteria
filters upstream of the flow modules, and always cap flow module ports when not in
use.
1. Install battery if not already installed. Connect AC adapter to DC power source
connector if desired. The battery will charge in the instrument when the AC adapter
is plugged in. Fully charge the battery overnight before using with battery alone.
2. Install SD flash memory card into card slot on top of the interface module. This step
is necessary only if planning to log data.
3. Connect the Interface Module to a flow module (Figure 10). To remove the cable,
pull its locking connector (not the cable) from the Interface Module.
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4. Install the flow module into the test circuit. Align the flow direction arrow on the flow
module with the positive direction of flow through the circuit; for ventilator testing the
arrow should point towards the test lung or away from the “To Patient” port on the
ventilator.
Figure 11. Installing a Flow Module into the Circuit for Measuring
Bi-directional Flow
(flow direction Arrow should be towards test lung)
Note
If using a test lung with a built in restrictor or a separate restrictor, place the airway
pressure fitting at least 15 cm of the 22 mm tubing between the restrictor and the flow
module. If this is not done, the flow direction sensor may not work properly.
If the AC adapter is plugged into the instrument, the battery charging symbol will
appear on the display.
Figure 15. Example of Parameter Screen Figure 16. Example of Graph Screen
Stops/Starts
data acquisition
Stops/Starts
graph
Y-axis setup
Y-axis setup
X-axis setup
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2.3.4 Gas Conditions Selection Box
STP Standard Temperature and Pressure. The gas flow rate and volumes are
displayed in terms of what the gas flow rate and volume would be if the gas
was 21°C and 1 atmosphere (101.3 kPa) of pressure.
ATP Actual Temperature and Pressure. The gas flow rate and volumes at the
actual temperature and pressure of the gas.
BTPS Body temperature and Pressure Saturated. The gas flow rate and
volumes are displayed in terms of what the gas flow rate and volume would
be if the gas was changed to 37°C, the actual pressure, and also saturated
with water vapor.
BTPD Body temperature and Pressure Dry The gas flow rate and volumes are
displayed in terms of what the gas flow rate and volume would be if the gas
was changed to 37°C, but maintaining the actual pressure.
STPxx User defined Standard Conditions. The gas flow rate and volumes are
displayed in terms of what the gas flow rate and volume would be if the gas
was at the conditions entered in the boxes to the right.
Number of All breath parameters are averaged over the selected number of
Breaths breaths.
Averaged
Second All displayed transducer measurements are averaged over the
Average for selected number of seconds. Transducer measurements include:
Real-Time flow, low pressure, high pressure, absolute pressure, oxygen
Values concentration, and temperature.
Flow Rate Start and end of the breath is determined by the specified flow rate. If
Auto-Triggering is selected, instrument tries to determine trigger
levels. In some cases you may need to manually select the flow rates
by looking at the flow waveform on the Graph Screen.
Pressure Start and end of the breath is determined by the specified pressure
levels. Positive slope changed through the first value is used for the
start of inspiratory and a negative slope through the second value is
used for the start of expiratory.
Note: This trigger type is intended to give advance users additional
setup options for special circumstances, such as achieving
basic breath measurements from high frequency ventilators or
other setups in which flow rate or auto triggering are non-ideal.
TTL Start and end of the breath is determined by a TTL voltage signal
given at the connector on the High Flow Module labeled “Trigger
Input”. This is only available for the 4081 High Flow Module. The
connector is a 3.5 mm mono audio jack plug.
Configuration of the values displayed, gas, conditions, triggering, and graph setup can
be saved and recalled. This allows the user to save configurations for different
equipment.
See section 2.3.10.1 to learn how to transfer configuration files from one instrument to
another using the SD memory card.
3. “Pressure Transducers Zeroing” appears on the display for one second. If the
transducers do not see a steady pressure or near zero pressure, an error appears.
NOTE: The barometric pressure transducer does not require a zero calibration.
2. Press the key and select the “Oxygen Calibration” box on the display. Follow
the directions on the screen. Note that either an “air only” or an “air and 100%
oxygen” calibration can be done. The two point air/100% oxygen calibrations
provide the best accuracy.
Note: The numeric value displayed during the stabilization process does not
necessarily represent the actual oxygen concentration. This numeric
stabilization value is there for you to determine if it is changing or not. Once
the reading stops changing then it is time to advance to the next step in the
oxygen sensor calibration process.
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Symptom Possible Cause Corrective Action
Volume, minute Less than two Wait for at least two consecutive
volume, peak flow, consecutive full breaths full breaths to be supplied to the
peak pressure, PEEP, have been supplied to flow module.
respiratory rate, or I:E flow module, or flow is not
ratio measurements supplied as a breathing
are not updated or waveform.
incorrect. Auto-trigger not optimized Ensure that flow is supplied as a
for current waveform. breathing waveform.
3: Troubleshooting 37
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Component Cleaning
Interface Module Clean exterior as required with a clean cloth and
Flow modules isopropyl alcohol, hydrogen peroxide (3%), or ammonia
Carrying cases (15%).
Oxygen sensor
Oxygen sensor cables
Tee Steam autoclave after contact with any non-sterile
Adapters breathing circuit components, and discard if any
damage is visible.
Single use filters (High Discard after contact with any non-sterile breathing
and Low Flow circuit components or if damage is visible.
Modules)
39
4.4 Factory Calibration (recommended yearly)
Certifier® FA Test System flow modules are designed for one year of normal use
following each factory calibration.
If the test system has been dropped or liquid has penetrated any of its components,
do not use, and return to the factory for calibration.
Recalibrated flow modules come with a certificate of calibration and a summary of
performance before and after the calibration. A factory calibration consists of pressure
transducer calibration over the full range of pressures and calibration over the full range
of flows. All calibration datum are stored in the flow modules, so the Interface Module
does not require calibration. Therefore, it is not necessary to return the Interface
Module for factory calibration.
Follow the steps in Section 4.5 below to return Certifier® FA Test System flow modules
for factory calibration.
5.2 Environmental
Temperature Operating: 5 to 40C (41 to 104F). 15 to 80% relative humidity from
5 to 31C decreasing linearly to 15 to 50% relative humidity at 40C.
Storage: -40 to 70C (-40 to 158F) at 10 to 90% relative humidity,
non-condensing
Atmospheric Operating: 57.1 to 106 kPa (8.28 to 15.37 psia).
Pressure Storage: 15000 meters
Conditions Indoor Use
Operating Altitude up to 4000 m (13,000 ft)
Pollution degree I or II
5.3 Power
Battery Life 3 to 6 hours typical
Battery Type Lithium-Ion SBL160
AC Adapter 12 VDC 1A Minimum
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5.4 Data Transfer and Storage
Internal Memory 1 MB (500 typical records)
External Memory SD Flash Card. Supports up to 1 GB cards.
5.5 Test Measurements (See notes at end of section. See Table 3 for symbol definitions.)
Measurement High Flow Module Low Flow Module
Flows
Range -200 to +300.0 SLPM air, 0.01 to 20.00 SLPM air, oxygen,
oxygen, and nitrogen nitrogen, carbon dioxide, and
-40 to +40 SLPM carbon nitrous oxide
dioxide
0 to 300 air/oxygen mixture
Accuracy Air and oxygen: ±2% of reading Air and oxygen: ±2% of reading or
or ±0.075 standard L/min, ±0.010 standard L/min, whichever is
whichever is greater greater
Nitrogen and carbon dioxide: Nitrogen and carbon dioxide: ±3%
±3% of reading or ±0.075 of reading or ±0.010 standard
standard L/min, whichever is L/min, whichever is greater
greater
Air/Oxygen mixture: ±4% of Nitrous oxide: ±4% of reading or
reading or ±0.100 standard ±0.025 standard L/min, whichever is
L/min, whichever is greater greater
Volumes
Range 0.01 to 10 L STP 0 to 10 L STP
Accuracy Air and oxygen: 2% of reading Air and oxygen: 2% of reading or
plus 0.020 L 0.010 L, whichever is greater
Air/oxygen mixtures: 4% of Nitrous oxide: 4% of reading or
reading plus 0.020 L STP 0.010 L STP, whichever is greater
Volumes
Range 0.01 to 10 L STP Not applicable
Accuracy Air and oxygen: 3% of reading Not applicable
plus 0.030 L
Air/oxygen mixtures: 4% of
reading plus 0.040 L STP
Minute Volume
Range 0.01 to 100 L STP 0 to 10 L STP
Accuracy 3% of reading 3% of reading
Times
Range 0.04 to 30 seconds 0.04 to 30 seconds
Accuracy 2% of reading or 0.01 2% of reading or 0.01 seconds,
seconds, whichever is greater whichever is greater
I:E Ratios
Range 1:100.0 to 100.0:1 1:100.0 to 100.0:1
Accuracy 4% of reading typical 4% of reading typical
Respiratory Rate
Range 1 to 1500 breaths per minute 1 to 1500 breaths per minute
Accuracy 2% of reading or 0.1 BPM, 2% of reading or 0.1 BPM,
whichever is greater whichever is greater
Low Pressures
Range -25.0 to 150.0 cmH2O Not applicable
(-18.4 to 110 mmHg)
Accuracy 0.5% of reading or Not applicable
0.15 cmH2O (0.15 mmHg),
whichever is greater
5: Specifications 43
Measurement High Flow Module Low Flow Module
High Pressure
Range -10 to 150.0PSIG Not applicable
(-0.7 to 10 bar)
Accuracy 1% of reading or 0.1 PSI Not applicable
(7 mbar), whichever is
greater.
Absolute Pressure
Range 375 to 1200 mmHg 375 to 1500 mmHg
(500 to 1600 mbar) (500 to 2000 mbar)
Accuracy 8 mmHg (11 m bar) 8 mmHg (11 mbar)
Oxygen Concentration
Range 21 to 100% Not applicable
Accuracy 2% concentration Not applicable.
Temperature
Range 5 to 40°C 5 to 40°C
Accuracy 1°C When flow rates are 1°C When flow rates are above
above 2 L/min 2 L/min
5: Specifications 45
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Filename:,\NV1FLASH\EXAMPLE.csv
Comments:,Custom comments here
Configuration:,*Current Configuration
Module A Model:,4081
Module A SN:,40810705010
Trigger Type:,Flow Rate
Start Trigger:,Auto
End Trigger:,Auto
Module A Conditions:,STP
Module A Gas:,AIR
Data Section:,,Module A,Module A,Module A
,,Flow Rate,Low Pressure,PEEP Pressure
Date,Time,L/Min,cmH2O,cmH2O
27/12/2007,12:03:20,0.00,-0.256,0.000
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As Formatted By spreadsheet application:
Filename: \NV1FLASH\EXAMPLE.csv
Comments: Custom comments here
Configuration: *Current Configuration
Module A 4081
Model:
Module A SN: 40810705010
Trigger Type: Flow Rate
Start Trigger: Auto
End Trigger: Auto
Module A STP
Conditions:
Module A Gas: AIR
Data Section: Module A Module A Module A
Flow Rate Low PEEP
Pressure Pressure
Date Time L/Min cmH2O cmH2O
27/12/2007 12:03:20 -19.2 -0.256 0
Notes:
When Continuous logging is used, each additional reading is given on a separate,
appended text line.
Parameter value columns are formatted in the same order that they have been
configured on the display screen.
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Graph Screen Data Format
The Graph Display data is formatted as 2 (1 parameter on Graph) or 3 (2 parameters
on Graph) columns of text. The first column is the X axis (relative time), the second and
third columns will contain the Graph data.
X Q L/Min P cmH2O
Total graph time: 10 seconds.
0 -0.421556 0.673527
0.041 -0.197457 0.678888
0.082 -0.095008 0.693449
0.123 -0.043302 0.699908
0.1639 -0.027286 0.712823
0.2049 -0.027088 0.723274
0.2459 -0.022927 0.730932
0.2869 -0.019958 0.736425
0.3279 -0.019294 0.738421
0.3689 -0.022878 0.740417
0.4098 -0.024059 0.744878
0.4508 -0.030267 0.744917
0.4918 -0.034957 0.747344
0.5328 -0.040919 0.74523
0.5738 -0.046022 0.740886
0.6148 -0.04976 0.749106
0.6557 -0.049111 0.743039
0.6967 -0.049844 0.742413
[up to 244 data points]