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OVERVIEW OF UAM VENTILATOR
Gradian Health Systems
Simulation-Based Product Training
Version 2.0
Agenda
I. UAMV Overview
a. Product Description
b. Key Features
II. Starting the UAMV
a. Setup
b. Connection Points
c. Flow Sensor Placement
III. Using the UAMV
a. Patient Select Screen
b. Main Screen
c. Flow Sensor Calibration
d. Ventilation Modes
e. Changing Modes
f. Alarms
g. Additional Settings
UAM Simulation-based Training I Lecture Content | Overview of UAMV 2
UAMV Overview: Product Description
3
UAM Simulation-based Training I Lecture Content | Overview of UAMV
The UAMV supports:
โ€ข Pressure-Controlled Ventilation
โ€ข Volume-Controlled Ventilation
โ€ข Spontaneous Breathing
Key Specifications
โ€ข Tidal volume: 50 โ€“ 1000mL
โ€ข Minute volume: 1 โ€“ 10 liters per minute
โ€ข Pressure control: 10 โ€“ 30cmH2O
โ€ข I:E ratio: 1:1 โ€“ 1:3
โ€ข Breathing rate: 5 โ€“ 30 BPM
โ€ข Displays: Flow and pressure vs. time
Other Features
โ€ข Accepts fixed and variable PEEP
valves
โ€ข Mechanically driven, no need for
high-pressure gas
โ€ข Back-up battery for up to 6 hours
โ€ข Triggered breath sensing โ€“ patients under anesthesia
generally do not try to breathe for themselves
โ€ข AC/SIMV/PS โ€“ all require triggered breaths
โ€ข PEEP โ€“ can be achieved with a PEEP valve
โ€ข CPAP/BiPAP โ€“ not feasible with a mechanical vent
THE UAMV DOES NOT
AUTOMATICALLY PROVIDE:
UAM Simulation-based Training I Lecture Content | Overview of UAMV 4
UAMV Overview: Key Features
Electrically-Driven Bellows
Requires no compressed gas & uses little power
Battery Backup
Operates on rechargeable battery for up to 6 hours
Measurements
Real-time measurement of Minute Volume, Tidal
Volume, Peak Pressure, Mean Pressure & PEEP
Settings
Easy-to-change ventilation parameters
Ventilation Modes
Volume Controlled, Pressure Controlled &
Spontaneous
Waveforms
Real-time display of pressure vs. time, flow vs.
time & compliance loops in all modes
Starting the UAMV: Setup
UAM Simulation-based Training I Lecture Content | Overview of UAMV 5
The UAMโ€™s bellows isolator switch
must be in the VENTILATOR position
(toward machine) when using the
ventilator and in the BELLOWS
position (away from the machine)
when using the manual bellows
The breathing circuit MUST be
disconnected from the patient when
starting up the ventilator. The bellows
moves up and down but you will get
an error message if it is connected.
Starting the UAMV: Connection Points
UAM Simulation-based Training I Lecture Content | Overview of UAMV 6
Ventilator Drive Hose
Connects the ventilator to
the UAM breathing block
Flow Sensor
Two tubes attach to the
patient circuit โ€“ proximal to
the patient should always be
blue and distal to the patient
should always be clear
If these are attached
incorrectly you will get
an error message on
the UAMV
Starting the UAMV: Flow Sensor Placement
UAM Simulation-based Training I Lecture Content | Overview of UAMV 7
Blue: Should
always be proximal
to the patient
Clear: Should
always be distal to
the patient
The flow sensor must
be placed between the
Y-piece and the
bacterial filter
Using the UAMV: Patient Select Screen
UAM Simulation-based Training I Lecture Content | Overview of UAMV 8
Select ventilator
settings by weight
OR
Select one of 6
user-defined
settings
Using the UAMV: Main Screen
UAM Simulation-based Training I Lecture Content | Overview of UAMV 9
User
Settings
Ventilation Modes
Measurements
Using the UAMV: Flow Sensor Calibration
UAM Simulation-based Training I Lecture Content | Overview of UAMV 10
1. Disconnect the drive hose from the rear of the
ventilator and attach the red plastic adaptor
2. Connect the patient flow sensor with the clear
tubing facing the ventilator
3. Press the โ€œFlow Calโ€ button
4. Press โ€œCalibrate Patient Flowโ€
5. โ€œYesโ€ to start calibration of the inspired flow
6. When prompted, turn the flow sensor around to
calibrate the expired flow and press โ€œContinueโ€
7. Reconnect drive
hose to rear of ventilator
Conduct weekly!
Using the UAMV: Flow Sensor Calibration
UAM Simulation-based Training I Lecture Content | Overview of UAMV 11
The next learning unit will show a video demonstrating how
to calibrate the UAMV flow sensor.
Using the UAMV: Ventilation Modes
UAM Simulation-based Training I Lecture Content | Overview of UAMV 12
VOLUME CONTROL PRESSURE CONTROL SPONTANEOUS
โ€ข Patient breathes with no
assistance from UAMV
โ€ข UAMV measures volume,
peak, and mean airway
pressure
โ€ข An apnea alarm will sound
if patient stops breathing
โ€ข A pressure limit can be set
so that it alarms when limit
is exceeded
โ€ข Set target pressure
is achieved as
quickly as possible;
tidal volume will
vary
โ€ข Set target pressure
is maintained for the
remaining
inspiration time
โ€ข Delivers a set tidal
volume; user chooses
respiratory rate
โ€ข If set volume is
reached early or if the
set pressure limit is
exceeded, then the
inspiration phase will
end at that time
Using the UAMV: Changing Between Modes
UAM Simulation-based Training I Lecture Content | Overview of UAMV 13
1. Press the new
mode desired
2. Press โ€œChange
Modeโ€
3. Press โ€œOkโ€ when
prompted
Using the UAMV: Alarms
UAM Simulation-based Training I Lecture Content | Overview of UAMV 14
Alarms Based on
Values Set by User
โ€ข Low Tidal Volume
โ€ข High Tidal Volume
โ€ข Low Minute Volume
โ€ข High Minute Volume
If all parameters within limits, the
NO ALARMS reading will appear
If any parameter is out of range the text in
the box will turn red with the ALARM NAME
Alarms Based on
Automatic Values
โ€ข Apnea
โ€ข Patient disconnect
โ€ข High Airway Pressure
โ€ข Battery Low
Using the UAMV: Additional Settings
UAM Simulation-based Training I Lecture Content | Overview of UAMV 15
By selecting the โ€œScreen
Volume Timeโ€ button, the
following parameters can be
adjusted:
โ€ข Button and alarm volume
โ€ข Screen contrast
โ€ข Screen brightness
โ€ข Time setting
โ€ข Style of waveforms

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Overview of the UAM Ventilator (UAMV)

  • 1. OVERVIEW OF UAM VENTILATOR Gradian Health Systems Simulation-Based Product Training Version 2.0
  • 2. Agenda I. UAMV Overview a. Product Description b. Key Features II. Starting the UAMV a. Setup b. Connection Points c. Flow Sensor Placement III. Using the UAMV a. Patient Select Screen b. Main Screen c. Flow Sensor Calibration d. Ventilation Modes e. Changing Modes f. Alarms g. Additional Settings UAM Simulation-based Training I Lecture Content | Overview of UAMV 2
  • 3. UAMV Overview: Product Description 3 UAM Simulation-based Training I Lecture Content | Overview of UAMV The UAMV supports: โ€ข Pressure-Controlled Ventilation โ€ข Volume-Controlled Ventilation โ€ข Spontaneous Breathing Key Specifications โ€ข Tidal volume: 50 โ€“ 1000mL โ€ข Minute volume: 1 โ€“ 10 liters per minute โ€ข Pressure control: 10 โ€“ 30cmH2O โ€ข I:E ratio: 1:1 โ€“ 1:3 โ€ข Breathing rate: 5 โ€“ 30 BPM โ€ข Displays: Flow and pressure vs. time Other Features โ€ข Accepts fixed and variable PEEP valves โ€ข Mechanically driven, no need for high-pressure gas โ€ข Back-up battery for up to 6 hours โ€ข Triggered breath sensing โ€“ patients under anesthesia generally do not try to breathe for themselves โ€ข AC/SIMV/PS โ€“ all require triggered breaths โ€ข PEEP โ€“ can be achieved with a PEEP valve โ€ข CPAP/BiPAP โ€“ not feasible with a mechanical vent THE UAMV DOES NOT AUTOMATICALLY PROVIDE:
  • 4. UAM Simulation-based Training I Lecture Content | Overview of UAMV 4 UAMV Overview: Key Features Electrically-Driven Bellows Requires no compressed gas & uses little power Battery Backup Operates on rechargeable battery for up to 6 hours Measurements Real-time measurement of Minute Volume, Tidal Volume, Peak Pressure, Mean Pressure & PEEP Settings Easy-to-change ventilation parameters Ventilation Modes Volume Controlled, Pressure Controlled & Spontaneous Waveforms Real-time display of pressure vs. time, flow vs. time & compliance loops in all modes
  • 5. Starting the UAMV: Setup UAM Simulation-based Training I Lecture Content | Overview of UAMV 5 The UAMโ€™s bellows isolator switch must be in the VENTILATOR position (toward machine) when using the ventilator and in the BELLOWS position (away from the machine) when using the manual bellows The breathing circuit MUST be disconnected from the patient when starting up the ventilator. The bellows moves up and down but you will get an error message if it is connected.
  • 6. Starting the UAMV: Connection Points UAM Simulation-based Training I Lecture Content | Overview of UAMV 6 Ventilator Drive Hose Connects the ventilator to the UAM breathing block Flow Sensor Two tubes attach to the patient circuit โ€“ proximal to the patient should always be blue and distal to the patient should always be clear If these are attached incorrectly you will get an error message on the UAMV
  • 7. Starting the UAMV: Flow Sensor Placement UAM Simulation-based Training I Lecture Content | Overview of UAMV 7 Blue: Should always be proximal to the patient Clear: Should always be distal to the patient The flow sensor must be placed between the Y-piece and the bacterial filter
  • 8. Using the UAMV: Patient Select Screen UAM Simulation-based Training I Lecture Content | Overview of UAMV 8 Select ventilator settings by weight OR Select one of 6 user-defined settings
  • 9. Using the UAMV: Main Screen UAM Simulation-based Training I Lecture Content | Overview of UAMV 9 User Settings Ventilation Modes Measurements
  • 10. Using the UAMV: Flow Sensor Calibration UAM Simulation-based Training I Lecture Content | Overview of UAMV 10 1. Disconnect the drive hose from the rear of the ventilator and attach the red plastic adaptor 2. Connect the patient flow sensor with the clear tubing facing the ventilator 3. Press the โ€œFlow Calโ€ button 4. Press โ€œCalibrate Patient Flowโ€ 5. โ€œYesโ€ to start calibration of the inspired flow 6. When prompted, turn the flow sensor around to calibrate the expired flow and press โ€œContinueโ€ 7. Reconnect drive hose to rear of ventilator Conduct weekly!
  • 11. Using the UAMV: Flow Sensor Calibration UAM Simulation-based Training I Lecture Content | Overview of UAMV 11 The next learning unit will show a video demonstrating how to calibrate the UAMV flow sensor.
  • 12. Using the UAMV: Ventilation Modes UAM Simulation-based Training I Lecture Content | Overview of UAMV 12 VOLUME CONTROL PRESSURE CONTROL SPONTANEOUS โ€ข Patient breathes with no assistance from UAMV โ€ข UAMV measures volume, peak, and mean airway pressure โ€ข An apnea alarm will sound if patient stops breathing โ€ข A pressure limit can be set so that it alarms when limit is exceeded โ€ข Set target pressure is achieved as quickly as possible; tidal volume will vary โ€ข Set target pressure is maintained for the remaining inspiration time โ€ข Delivers a set tidal volume; user chooses respiratory rate โ€ข If set volume is reached early or if the set pressure limit is exceeded, then the inspiration phase will end at that time
  • 13. Using the UAMV: Changing Between Modes UAM Simulation-based Training I Lecture Content | Overview of UAMV 13 1. Press the new mode desired 2. Press โ€œChange Modeโ€ 3. Press โ€œOkโ€ when prompted
  • 14. Using the UAMV: Alarms UAM Simulation-based Training I Lecture Content | Overview of UAMV 14 Alarms Based on Values Set by User โ€ข Low Tidal Volume โ€ข High Tidal Volume โ€ข Low Minute Volume โ€ข High Minute Volume If all parameters within limits, the NO ALARMS reading will appear If any parameter is out of range the text in the box will turn red with the ALARM NAME Alarms Based on Automatic Values โ€ข Apnea โ€ข Patient disconnect โ€ข High Airway Pressure โ€ข Battery Low
  • 15. Using the UAMV: Additional Settings UAM Simulation-based Training I Lecture Content | Overview of UAMV 15 By selecting the โ€œScreen Volume Timeโ€ button, the following parameters can be adjusted: โ€ข Button and alarm volume โ€ข Screen contrast โ€ข Screen brightness โ€ข Time setting โ€ข Style of waveforms