Weinmann MEDUMAT Transport Instructions For Use Manual
Weinmann MEDUMAT Transport Instructions For Use Manual
Ventilator
2 EN Contents
11.1 Troubleshooting . . . . . . . . . . . . . 123
11.2 System alarms . . . . . . . . . . . . . . 125
11.3 Physiologic alarms . . . . . . . . . . . 127
12. Maintenance . . . . . . . . . . . . . . . . . 129
12.1 MEDUMAT Transport . . . . . . . . . 129
12.2 Sending in device . . . . . . . . . . . . 130
12.3 Batteries . . . . . . . . . . . . . . . . . . . 131
12.4 Accessories. . . . . . . . . . . . . . . . . 131
12.5 Changing the suction filter . . . . . 131
12.6 Changing the hygiene input
filter . . . . . . . . . . . . . . . . . . . . . . 132
12.7 Storage . . . . . . . . . . . . . . . . . . . 133
12.8 Disposal . . . . . . . . . . . . . . . . . . . 134
13. Product, accessories . . . . . . . . . . . 135
13.1 Standard scope of supply . . . . . . 135
13.2 Accessories. . . . . . . . . . . . . . . . . 136
13.3 Options . . . . . . . . . . . . . . . . . . . 139
13.4 Replacement parts . . . . . . . . . . . 140
14. Technical Data . . . . . . . . . . . . . . . 142
14.1 Specifications . . . . . . . . . . . . . . . 142
14.2 Battery specifications . . . . . . . . . 147
14.3 Block diagram . . . . . . . . . . . . . . 148
14.4 Separation distances. . . . . . . . . . 148
14.5 O2 consumption of the unit . . . . 149
14.6 Possible O2 concentration with
counterpressure . . . . . . . . . . . . . 149
14.7 Attainable tidal volume with
counterpressure . . . . . . . . . . . . . 151
14.8 Calculation of body weight on the
basis of body height . . . . . . . . . . 152
15. Glossary . . . . . . . . . . . . . . . . . . . . 153
16. Warranty . . . . . . . . . . . . . . . . . . . . 156
17. Declaration of Conformity . . . . . . 156
Contents EN 3
1. Overview
Connections on MEDUMAT Transport
1 Alarm LED
2 USB interface
3 O2/AIR inlet
4 O2/AIR inlet/
outlet
5 Filter compartment
cover, air inlet
6 Ventilation connection
terminal
8 DC connection
7 Rechargeable
battery
4 EN Overview
Ventilation connection terminal
3 Pressure-measurement hose
connection
Overview EN 5
Controls of MEDUMAT Transport
11Function buttons for 1 Context-dependent
emergency ventilation function button
2 Alarm mute button with
LED
3 Context-dependent
function button
4 Function button for
main menu
5 Context-dependent
function button
6 Function button for
100% O2
7 Function button for
inspiratory O2
concentration
8 On/Standby/Off
10 Context-dependent control knobs 9 Navigation knob button
6 EN Overview
Display of MEDUMAT Transport 1 Battery/Line operation indicators
7 Battery
charge
status
6 Numeric mea-
surement display 2 Function
indicator for
5 Function indica- context-
tor for context- dependent
dependent func- function
tion buttons buttons
4 Function indica-
tor for context-
dependent con-
trol knobs
3 Ventilation progress display
Overview EN 7
Hose system (reusable and disposable versions available)
Notice:
Detailed information about the hose systems can be found in the "Patient Hose
System" instructions for use WM 66696.
8 EN Overview
Hygiene input filter (optional)
1 Filter grommet
2 Filter mount
Overview EN 9
Inhalation adapter
1 Cover
2 Inhalation mask
3 Inhalation adapter
10 EN Overview
MEDUMAT Transport Main menu
Pressure, flow
Pressure, CO2
Pressure, flow, CO 2
Pressure, flow,
Curves measurements
Pressure, CO2,
measurements
Pressure gauge
Pressure ramp
Flow ramp
Flow progress
decreasing
constant
Advanced ventilation parameters
Plateau time
Trigger thresholds
Inspiration
Expiration
Trigger time slot
Activated
Apnea mode
BiLevel + ASB
SIMV + ASB
Apnea ventilation parameters Suction activated
Settings
Unit
PEEP
mmHG
pInsp
Vol%
Vt
kPa
Freq
I:E Year
Brightness/Day Month
Brightness/Night Day
Audio/Video
Brightness/NVG Hour
Volume Minute
Alarm LED
CO2 configuration
Date, time
Options
Device data
Bluetooth Med. O
Compressed air
Compressed gas supply
Night colors Concentrator O
Hygiene input filter
NVG
Overview EN 11
Mode menu
NIV
BiLevel + ASB
aPCV
PCV
CPAP + ASB
PRVC + ASB
IPPV
S-IPPV
SIMV + ASB
Inhalation
Pre-oxygenation
12 EN Overview
Symbol Meaning
Navigate upwards
Navigate downwards
Increase value
Decrease value
Bluetooth connection:
– Symbol is gray when connection has been activated
– Symbol is blue during communication
Overview EN 13
Symbol Meaning
Time
14 EN Overview
Function of the controls during ventilation
Depending on the ventilation mode selected, you can set the following ventilation
parameters using the controls:
1 2 3 4 5
Overview EN 15
Ventilation Control Control Control Control Navigation Function Function Function
mode knob 1 knob 2 knob 3 knob 4 knob 5 button 6 button 7 button 8
I:E and
SIMV + ASB PEEP Vt pMax Freq. Selection/ Δ pASB Trigger Mode
Confirmation
Inhalation - - - - Flow - - Mode
Pre-
- - - - Flow - - Mode
oxygenation
16 EN Overview
Special markings
MEDUMAT Transport 1 MEDUMAT Transport type plate
9 Cover of USB interface 2 Voltage input
8 Filter compartment
cover
7 O2/AIR inlet
6 O2/AIR inlet/outlet
3 STK and service label
Battery
5 Ventilation hose connection
4 Follow the instructions for use
Symbol Meaning
MEDUMAT Transport type plate
1
Consult instructions for use
1
Date of manufacture
1
Degree of protection against electric shock: type BF device
1
Input
Overview EN 17
Symbol Meaning
1
DC voltage
1 Imin
Minimum and maximum current
Imax
1
Do not dispose of the unit in the household waste.
1
Type of protection against electric shock: protection class II device
1 SN Serial number
Other marks
2
Input voltage
3
Service label: indicates when the next service is required.
3 STK label: (only in the Federal Republic of Germany) indicates when the
next safety check in accordance with §6 Medical Device Operator
Ordinance (MPBetreibV) is required.
4
Follow the instructions for use
5
Maximum pressure ≤ 100 mbar
18 EN Overview
Symbol Meaning
6
O2 / AIR Volume flow rate
270 – 600 kPa
80 – 150 l/min
7
Input 2.7 bar–6 bar O2 or sterile compressed air
8,9
Consult instructions for use
10
Do not subject the unit to hard knocks or shocks.
10
Do not open the unit using force.
10
Protect the unit against heat.
10
Protect the unit against moisture.
Overview EN 19
Symbol Meaning
Hygiene input filter (optional)
11
Input
Do not reuse
Warning!
Warns of risk of injury and possible damage to the unit.
Caution!
Warns of material damage and possibly incorrect therapy results.
Notice:
Offers useful tips.
20 EN Overview
2. Description
2.2 Applications
MEDUMAT Transport can be used in the following cases for up to 30 days:
Emergency
• for resuscitation at the place of the emergency
• for longer-tem use in continuing emergency situations
• for preoxygenation via a ventilation mask
• for inhalation via an oxygen mask or nasal cannula
Transport
• in ground, sea and air emergency medical service
• between hospital rooms and departments
• between a hospital and other locations (secondary transport)
Ventilation in hospitals
• recovery room
• intensive care unit
• surgery preparation and follow-up
• emergency department
MEDUMAT Transport is also suitable for gentle ventilation of anesthetized patients (TIVA:
total intravenous anesthesia).
Description EN 21
2.3 Operator and user qualification
MEDUMAT Transport must only be used by persons who can verify that they have the
following qualifications:
• A medical qualification and training in ventilation techniques
• Training in the use of the MEDUMAT Transport by a person authorized
by WEINMANN Emergency
Improper use may lead to serious physical injury.
As the operator or user, you must be fully familiar with the correct operation of this medical
device. Observe the statutory requirements for operation and use (in Germany, particularly
the German regulations governing owners/operators of medical devices (MPBetreibV)).
General recommendation: You should seek instruction on the correct handling, use and
operation of this medical device from a person authorized by WEINMANN Emergency.
2.4 Function
The unit
MEDUMAT Transport is used to treat apnea and to provide respiratory support. By means
of adjustable ventilation parameters, the unit ensures uniform ventilation tailored to the
patient.
Pressure-controlled and volume-controlled ventilation modes can be selected for optimum
patient ventilation.
In CPAP + ASB mode, the unit enables assisted spontaneous breathing with continuous
positive airway pressure and respiration-controlled oxygen inhalation. In addition, the unit
permits O2 inhalation for preoxygenating the patient.
The unit allows the oxygen concentration of the respiratory gas to be adjusted.
Depending on the version, the unit's large display can show up to three spirometric curves
(pressure, flow and CO2) or two curves and additional measured values.
For emergency situations, rapid selection of default types of ventilation is possible.
With the data communication option enabled, the device can transmit its application data
to an application documentation system via Bluetooth.
22 EN Description
Patient Hose System
The ventilation gas is supplied to the patient via the Patient Hose System, comprising the
ventilation hose and all leads necessary for comprehensive ventilation and monitoring.
The Patient Hose System is designed to permit spontaneous respiration even if the
MEDUMAT Transport malfunctions.
The following versions of the patient hose system are available:
• Reusable hose system with CO2 measuring hose
• Reusable hose system without CO2 measuring hose
• Disposable hose system with CO2 measuring hose
• Disposable hose system without CO2 measuring hose
• Disposable hose system with reduced dead space with CO2 measuring
hose
• Disposable hose system with reduced dead space without CO2
measuring hose
• Disposable hose system with reduced dead space with CO2 measuring
hose for adults and children
• Disposable hose system with reduced dead space without CO2
measuring hose for adults and children
Inhalation adapter
The ventilation gas can alternatively be supplied to the patient via the inhalation adapter
and the inhalation hose. During inhalation the measuring ports on the device are blocked
by a cover so the device does not take in ambient air.
Description EN 23
3. Safety information
Read these instructions for use carefully. It is part of the unit and must be available at all
times.
For your own safety and that of your patients, and in accordance with the requirements of
Directive 93/42/EEC, please observe the following points:
General
• Always carry out a functional check before using the unit
(see "10. Function check" on page 115).
• Please observe the section "9. Hygienic preparation" on page 109 in
order to avoid infection or bacterial contamination.
Warning!
• Risk of injury. Only use MEDUMAT Transport if you are a qualified
medical professional and have received training in respiration
techniques. Improper use may lead to serious physical injury.
• Risk of injury. Never leave the patient or the ventilator unattended during
ventilation. Only then can you respond quickly if the patient's condition
deteriorates or in the event of an alarm or malfunction. Delayed response
on the part of medical personnel may lead to serious physical injury.
• Risk of injury from deactivated alarm LED, deactivated acoustic alarm
output and darkened display in NVG mode!
The alarms are barely perceptible as a result of the deactivated alarm
LED, the deactivated acoustic alarm output and the darkened display in
NVG mode. This can injure the patient.
– Always monitor the patient during ventilation.
– Only use the NVG option in the military sector.
• Only use MEDUMAT Transport for the designated purpose
(see "2.1 Intended use" on page 21).
• MEDUMAT Transport is not suitable for hyperbaric use (pressure
chamber).
• The unit is not licensed for use in explosive atmospheres. The unit must
not be used in combination with flammable gases or anesthetics.
• The unit is not licensed for use in poisonous atmospheres.
• Only operate the unit in a contaminated atmosphere with a hygiene in-
put filter.
24 EN Safety information
• Only operate the unit with a filter compartment cover or hygiene input
filter to prevent any liquids from entering the unit.
• Always keep the air inlet openings on the filter compartment cover or the
suction inlets on the hygiene input filter clear.
• Only have modifications to the unit carried out by the manufacturer,
WEINMANN Emergency, or by a technician expressly authorized by
WEINMANN Emergency.
Caution!
• Do not place a switched-on cellular phone or radio closer than 1 m from
the MEDUMAT Transport, as this could cause malfunctions.
• Remember that the respiratory resistance of the system as a whole may
increase beyond the level specified by the standard when an HME filter
(heat and moisture exchanger), a bacterial filter or a combined HME
bacterial filter is used. Please also follow the manufacturer's instructions
for use for the filter being used.
• When operating the unit with the power supply unit, always connect the
unit to an easily accessible outlet so that it can be unplugged quickly in
the event of a malfunction.
• When operating the unit with the power supply unit, make sure that the
power cord cannot cause anyone to trip or cause any obstruction. If
necessary, do not use an external power supply, but operate the unit
with the battery instead.
• When operating the unit with the 12 V supply cord, always connect the
unit to an easily accessible vehicle electrical system receptacle so that it
can be unplugged quickly in the event of a malfunction.
• When operating the unit with the 12 V supply cord, make sure that the
cord cannot cause anyone to trip or cause any obstruction. If necessary,
do not use the vehicle electrical system, but operate the unit with the
battery instead.
• An alternative ventilation unit must be kept available in case a unit fails.
• After using the unit in a dusty environment (e.g., a gravel plant), change
the suction filter (see "12.5 Changing the suction filter" on page 131) or
the hygiene input filter (see "12.6 Changing the hygiene input filter" on
page 132).
• Only operate a unit with hygiene input filter with software version 6.1 or
higher.
Safety information EN 25
Safe handling of oxygen
Warning!
• Risk of explosion! In combination with combustible substances (grease,
oil, alcohol etc.), highly compressed oxygen may give rise to spontaneous
explosive reactions.
• Risk of fire! If only the O2/AIR inlet/outlet is used, close the O2/AIR inlet
on the side with a suitable cap. Otherwise, gas will escape from the O2/
AIR inlet on the side.
• Risk of poisoning! Highly concentrated oxygen can have a toxic effect on
the patient if administered for too long and depending on the age of the
patient. When ventilating with pure oxygen or an oxygen-air mixture,
make sure that oxygen is only administered for an appropriate period.
• Keep the units and all screwed unions absolutely free from oil and
grease.
• Be sure to wash your hands before working on the oxygen supply.
• Smoking and open flames are strictly prohibited in the vicinity of fittings
containing oxygen.
Caution!
• When assembling the unit, and when changing cylinders, tighten all
screwed unions on the oxygen cylinder and pressure reducer by hand
only. Never use tools. Overtightening damages the threads and seals,
resulting in leaks.
• Secure the oxygen cylinders so that they cannot fall over. If a cylinder falls
on the pressure reducer or valve, these could break off, causing a violent
explosion.
• Risk of insufficient oxygen supply! Two oxygen sources can be connected
to this unit simultaneously. Make sure that only one oxygen source is
open at any given time and that there is no gas reflux. Otherwise, one of
the oxygen sources may empty itself unnoticed. Sufficient oxygen supply
to the patient can then no longer be guaranteed when the unit is in use.
• Always open the cylinder valve slowly to prevent pressure hammer on the
fittings.
• Do not empty oxygen cylinders completely, as this may allow moist
ambient air to enter and cause corrosion.
26 EN Safety information
Ventilation/Handling
Caution!
• The USB port on the device must only be used for the application scenarios
outlined in the instructions for use. Only USB sticks which conform to the
USB standard 2.0 should be inserted in the USB port, otherwise this
interferes with operation of the unit, putting the patient at risk.
• Patient and ventilator must be kept under continuous observation during
ventilation.
• Prolonged ventilation can lead to atrophy of the muscles (dependency of
the patient on ventilation).
• Prolonged ventilation may lead to the airway drying out. Ensure
adequate conditioning of the respiratory gas.
• Only apply high ventilation pressures for short periods and only if
medically indicated. Permanently applied high ventilation pressures can
be injurious to the patient.
• Make sure that the patient valve is not covered or its function impaired,
e.g. by the patient's position.
• The patient hose systems for the device have different dead spaces.
Please take the dead space into consideration when selecting the
ventilation parameters, particularly when ventilating infants with very
small tidal volumes. Otherwise, there is a risk of insufficient ventilation.
• Do not place the patient valve of the disposable hose system with
reduced dead space near the O2/Air inlet of the MEDUMAT Transport,
in order to prevent the device sucking in CO2.
• Please note that the inspiratory resistance of a disposable hose system
with reduced dead space increases during adult ventilation.
• Please note that the use of additional accessories between the ventilation
hose and patient (e.g., humidifiers, nebulizers, and goosenecks) increas-
es the dead space.
• The device is not suitable for the ventilation of premature babies (born
before the end of the 36th week of pregnancy).
• Please note that if concentrator oxygen with an oxygen concentration
outside of the specifications is used (see 14.1, page 142), the tolerances
specified for the O2 measurement may also vary.
• Risk of injury from switching on a device with activated NVG mode
during daylight or without a night vision device!
A device with activated NVG mode cannot be used straight away during
daylight or without a night vision device. This can injure the patient.
– Keep an alternative ventilation unit at the ready.
Safety information EN 27
• When performing ventilation with a tidal volume Vt < 200 ml, a
PEEP > 0 mbar and an inspiratory O2 concentration set to FiO2 < 70%,
the inspiratory O2 concentration administered can deviate from the set
value. Reduce the PEEP to decrease the administered inspiratory O2
concentration.
Software
• Risks due to software errors have been minimized by means of extensive
qualification measures.
• This unit‘s software contains code which is subject to the GPL. You will
receive the source code and the GPL upon request.
Accessories/Repairs/Replacement parts
Caution!
• Protect silicone/rubber parts against UV light and prolonged direct
exposure to sunlight to prevent them becoming brittle.
• We recommend that work such as inspections and repairs should be
carried out by the manufacturer, WEINMANN Emergency, or by a
technician expressly authorized by WEINMANN Emergency.
28 EN Safety information
• If third-party items are used, functional failures may occur and fitness for
use may be restricted. Biocompatibility requirements may also not be
met. Please note that in such cases, any claim under warranty and liability
will be voided if neither the accessories nor genuine replacement parts
recommended in the instructions for use are used.
• This product may contain disposable items. Disposable items are intended
to be used only once. So use these items only once and do not reprocess
them. Reprocessing disposable items may impair the functionality and
safety of the product and lead to unforeseeable reactions as a result of
ageing, embrittlement, wear, thermal load, the effects of chemical
processes, etc.
Safety information EN 29
4. Installation
As a rule, MEDUMAT Transport only has to be installed for stationary use in rescue vehicles,
helicopters or aircraft. In this case, fastening sets can be supplied as accessories.
If MEDUMAT Transport is supplied complete on a portable system, the unit is ready for
operation and no further installation work is required. There are separate instructions for
use for the portable systems.
Warning!
After installation, you must perform a functional check (see "10. Function check" on
page 115) to ensure reliable operation.
Notice:
Only use the High Flow OXYWAY Fast II and OXYWAY Fix III pressure reducers on the
MEDUMAT Transport. Foreign pressure reducers can impair the unit's efficiency.
30 EN Installation
Connecting a new cylinder
1. Briefly open the valve of the new oxygen cylinder, then shut it again. This is to blow
away any particles of dust.
Caution!
• Make sure that the patient is not connected up to the MEDUMAT
Transport when you are establishing the gas supply. Otherwise, the
unit's automatic self-test can lead to incorrect results.
• When doing this, hold the valve opening away from your body in such a
way that any flying particles cannot injure yourself or other people!
2. Screw the pressure reducer to the cylinder valve using
the knurled union nut. Tighten the union nut by hand.
3. Screw the pressure hose onto the outlet of the pressure
reducer (if not already connected) using the G 3/8
union nut.
Notice:
If your unit is equipped with a DIN quick connector, no oxygen can be fed into the
unit with the associated DIN gas probe. With this combination it is only possible to
draw off oxygen.
Installation EN 31
4.2 Connecting the hose system
Caution!
Risk of injury posed by ventilation with inhalation mask, tube or inhalation cannula!
Before ventilating a patient, ensure that no inhalation mask, tube, or inhalation
cannula is being used for the ventilation. Otherwise, ventilation with a connected
inhalation mask, tube, or inhalation cannula could injure the patient.
32 EN Installation
Notice
You can remove the elbow to reduce the dead space or
to adapt the hose routing to suit the patient's position.
Elbow
Notice:
Always operate the unit with a water filter when CO2 suction is activated. Otherwise
particles that have been sucked in can damage the CO2 module.
The water filter WM 97012 loses efficiency after approx. 8 hours of continuous operation,
depending on the temperature, humidity and any coarse particles such as mucus.
Change the filter after eight hours at the latest.
The filter's decreasing efficiency is indicated by the alarm message "CO2 occlusion" on the
display. This message is accompanied by a medium-priority audible alarm.
Installation EN 33
4.3 Connecting the inhalation adapter
An inhalation adapter for oxygen inhalation via the MEDUMAT Transport is supplied with
the unit. The inhalation mode is used for administering a defined oxygen flow of
1-10 l/min via a suitable interface.
On delivery, the inhalation adapter is secured to the connection for the ventilation hose by
a retaining band. To connect the inhalation adapter, proceed as follows:
1. Connect the inhalation adapter to the ventilation hose
port on the unit.
or
Connect the inhalation adapter to the patient-side port
of the patient hose system.
2. To block the measuring ports on the device during
inhalation, place the cover on the inhalation adapter on
the upper two measurement ports on the device.
Notice
The cover is not required when connecting the in-
halation adapter to the patient-side port of the pa-
tient hose system. In this case, the connection plug
of the measuring hose system blocks the measur-
ing ports instead.
34 EN Installation
4.4 Accessories from other manufacturers
Caution!
• The USB port on the device is only intended for the application scenarios
outlined in the instructions for use. Only USB sticks which conform to the
USB standard 2.0 should be inserted in the USB port. Any other use will
interfere with operation of the unit, putting the patient at risk.
• Please note that the use of additional accessories between the ventilation
hose and patient (e.g., humidifiers, nebulizers, and goosenecks)
increases the dead space.
Endotracheal tube
Tracheostomy tube
If a humidifier is used, install it Requires standard connection as
between the patient connection per ISO 5356-1
Humidifier*
of the BiCheck flow sensor and Follow the manufacturer's
the tube/mask. instructions for use
If a nebulizer is used, install it
between the patient connection Requires standard connection as
of the HME filter, bacteria filter per ISO 5356-1
Nebulizer**
or the combined HME bacterial Follow the manufacturer's
filter and the tube/mask (with instructions for use
elbow if desired)
*Not all types of humidifiers are suitable for use with MEDUMAT
Transport. Always ensure that all products are compatible.
**Not all types of nebulizers can be used effectively with
MEDUMAT Transport. Always ensure that all products are
compatible.
Installation EN 35
Assembling the nebulizer
Caution:
When assembling the nebulizer, observe the correct order of the individual
components. Always install an HME filter, a bacteria filter, or a combined HME
bacterial filter between the BiCheck flow sensor and the nebulizer. If the filter is not
installed correctly or no filter is used, the membranes in the patient valve may
become stuck together and cause the BiCheck flow sensor to deliver faulty
measurements.
36 EN Installation
4.5 Permanent installation of the unit
If you wish to install the unit on a portable system or permanently install it in a vehicle or
aircraft, you require the fastening set WM 15730. The following diagram shows the
method of installation.
Back panel of
MEDUMAT Transport
Portable system
Installation EN 37
5. Operation
5.1 Controls
Display
The display provides the following information while the
unit is in use.
• Progress of the current ventilation
• Current measurements and alarm limits
• Ventilation parameters set/to be set
• Current assignment of the context-dependent
function buttons and control knobs
• Alarms and error messages
Notice:
Pressing the alarm mute button and the menu
button simultaneously takes a screenshot of the
current image on the screen. The following
message then appears on the screen: "Taking
screenshot "#", please wait" (see "8.3 File Export/
Import" on page 101).
38 EN Operation
Context-dependent function buttons
On both sides of the display there are context-dependent
function buttons for calling up the following functions:
Left side of the display:
• Selecting emergency modes (available in every
Function buttons
ventilation mode):
for emergency
ventilation – Infant (up to approx. 1 year)
– Child (approx. 1-12 years)
– Adult (approx. 13 years and over)
Right side of the display:
• Calling up menus during ventilation:
Context-
dependent – Button 1: Selecting a ventilation mode (see "6.
buttons Ventilation modes" on page 63)
Operation EN 39
Navigation knob
When a menu is open, you can use the navigation knob to
navigate as follows:
• Turn anticlockwise: moves the selection bar
upwards in the menu
• Turn clockwise: moves the selection bar
downwards in the menu
• Press the navigation knob: confirms selection
Navigation knob
When no menu is open, you can carry out the following
functions:
• Confirm setting parameters that have been set
with the context-dependent control knobs
• Set and confirm the I:E ratio
• Set and confirm the flow during inhalation and
pre-oxygenation
40 EN Operation
Above the navigation knob the unit also displays values
dependent on the ventilation parameters:
Ventilation
Additionally displayed values
parameters
I:E Ti
Ti and MV
Freq. I:E and MV (with Freq. of
≤5/min)
Vt MV
Operation EN 41
The self-test is successful when all the steps have been
completed. Check that all the steps are successfully
completed. Do not operate the unit if:
• one of the first three steps has not been
successfully completed
• the last part has not been successfully completed
("Fault" message appears in the display)
Caution!
The automatic self-test is not a substitute for a function
check. Before using the unit, always carry out a
function check as described in section"10. Function
check"on page 115. This is the only way to ensure that
the unit is fully functional.
4. The "Start menu" appears in the display. You now have
the following options:
– Press one of the emergency buttons (Infant, Child,
Adult): The unit immediately begins ventilation
with the preset parameters.
– Press the "Previous patient" button: The
ventilation settings from the previous patient
appear. Select the appropriate parameters for the
ventilation of the current patient.
Notice:
– If the switch-off time of the device is less than
30 seconds, the device starts ventilation
automatically after a 20-second countdown.
– Press the "New patient" button: Select the
"Adult", "Infant" or "Child" setting. The "Mode"
menu appears. Select the appropriate ventilation
mode and confirm your selection. Use the control
knobs to set the parameters for ventilating the
patient.
42 EN Operation
– Press the "New patient" button: Select the
"Height" setting. The "Patient parameters" menu
appears. Select the gender. Set the correct height
with the context-dependent function keys or the
navigation knob. Confirm the setting with
"continue". Now select the appropriate ventilation
mode and confirm your selection. If necessary, use
the control knobs to change the parameters for
ventilating the patient (see "14.8 Calculation of
body weight on the basis of body height" on
page 152).
Notice:
As soon as you select a new patient, you can use
the menu button to change over to the main
menu.
Notice:
Following the start of ventilation, all alarms are
automatically muted for 120 seconds. This is with
the exception of the technical alarms "Supply
pressure < 2.7 bar", "Battery almost empty", and
"Device malfunction", which cannot be muted.
During this time, visual alarms are still displayed.
Operation EN 43
5.3 Navigating in menus
The vast majority of functions of the MEDUMAT Transport are accessed via menus.
MEDUMAT Transport offers two methods of navigating in these menus:
• using the navigation knob
• using the context-dependent function buttons on the right of the display
You can close menus at any time by pressing the Menu button again. If you do not change
any parameters, the menus close automatically after 20 seconds.
Parameter changes will not be implemented unless they are confirmed with the navigation
knob or context-dependent button .
44 EN Operation
Navigating with the context-dependent function buttons
1. First use the function buttons to select a menu (here:
Main menu).
2. Select a menu item by pressing the function button
(the selection bar moves downwards) or the button
(the selection bar moves upwards).
3. Confirm your selection by pressing the button.
4. To leave a menu, select the menu item "back", using
the or button, and confirm your selection by
pressing the button.
Proceed in the same way when making numeric settings
(here: Alarm Limits)
– Press the button to raise the value and the
button to lower it.
– Press the button to confirm the newly set value.
– If you wait or set another ventilation parameter by
mistake, a set value will be rejected.
5. To switch from a sub-menu directly to the ventilation
screen, press the "Main menu" function button.
Operation EN 45
5.4 Selecting emergency mode
Three modes with preset ventilation parameters are
available for emergency ventilation. You can select these
directly at any time during ventilation by pressing one of
Emergency the function buttons twice or by pressing one of the
ventilation function buttons once and then confirming with the
function navigation knob.
1
• Button 1: Infant
2
3 • Button 2: Child
• Button 3: Adult
If IPPV is selected as the emergency mode, the display
shows a pressure gauge. If BiLevel + ASB is selected as the
emergency mode, the display shows the most recently
used curve display.
Exit the emergency mode as follows:
• Select a mode in the "Mode" menu
• Select the menu item "Curves" in the main menu.
IPPV and BiLevel + ASB can be selected as emergency
modes in the operator menu (see "Emergency Mode" on
page 107). IPPV mode is always preset at the factory. This
mode is activated automatically when you call up an
emergency mode from another ventilation mode.
Emergency ventilation is started with preset parameters. These parameters can be changed
in the operator menu (see "8.2 Ventilation Modes" on page 99) and are optimized for the
following patient groups:
• Infant (up to approx. 1 year, 10 kg body weight)
• Child (approx. 1-12 years, 25 - 30 kg body weight)
• Adult (approx. 13 years and over, 75 kg body weight)
46 EN Operation
Factory settings of the unit:
Emergency mode IPPV
Vt 500 ml 200 ml 60 ml
If you have selected a volume-controlled mode, and if the tidal volume or ventilation
rate has changed, the device automatically adapts the corresponding alarm limits
(± 30%) before the start of the ventilation. This automated process does not apply if
the parameters are changed during ventilation without the ventilation mode being
changed.
You will find a detailed description of all the ventilation modes in the "Mode" menu in
section "6. Ventilation modes"on page 63.
Operation EN 47
5.6 Changing the ventilation mode
To change the currently set ventilation mode, proceed as follows.
1. First, use the "Mode" function button to select the
"Mode" menu.
2. Then use the navigation knob or the context-depen-
dent function buttons on the right of the display to se-
lect whether you wish to ventilate invasively or non-
invasively.
The device then proposes the possible ventilation
modes to you. The possible ventilation modes for non-
invasive ventilation are: BiLevel + ASB, aPCV, PCV and
CPAP + ASB.
3. Then select the required ventilation mode. Alternative-
ly, you can select the "Inhalation" or "Pre-oxygen-
ation" function.
4. Confirm your selection by pressing the navigation knob
or the corresponding context-dependent function but-
ton.
5. Set the ventilation parameters for the selected mode.
6. Then select "continue" to proceed to the "Advanced
ventilation parameters" submenu and confirm your se-
lection.
Continue from point 7.
or
Select "Start ventilation" and confirm your selection.
The ventilation begins in the newly selected ventilation
mode.
7. Set the advanced ventilation parameters for the select-
ed mode.
8. Select "Start ventilation" and confirm your selection.
The ventilation begins in the newly selected ventilation
mode.
If you change from one ventilation mode to another, the unit will respond as follows:
• Ventilation parameters which are also available in the new ventilation
mode are retained unchanged.
• Ventilation parameters which are not available in the new ventilation
mode are saved, but have no influence on current ventilation progress.
48 EN Operation
The saved values become available again as soon as the previous
ventilation mode is reactivated.
• When changing from volume-controlled ventilation to pressure-
controlled ventilation, the unit adopts the preset inspiratory pressure
from the operator menu.
• If you have selected a volume-controlled mode, and if the tidal volume
or ventilation rate has changed, the device automatically adapts the
corresponding alarm limits (± 30%) before the ventilation mode is
changed. This automated process does not apply if the parameters are
changed during ventilation without the ventilation mode being changed.
Warning!
Risk of poisoning! Highly concentrated oxygen can have a toxic effect on the patient
if administered for too long, depending on the age of the patient. When ventilating
with pure oxygen or an oxygen-air mixture, make sure that oxygen is only
administered for an appropriate period.
Operation EN 49
Notice:
When performing ventilation with a tidal volume
Vt < 200 ml, a PEEP > 0 mbar and an inspiratory O2
concentration set to FiO2 < 70%, the inspiratory O2
concentration administered can deviate from the
set value. Reduce the PEEP to decrease the
administered inspiratory O2 concentration.
3. Press the button or the navigation knob to confirm
your selection.
Notice:
If your unit is equipped with the optional CO2 measurement, you can check the tube
position on the basis of the capnogram and correct it if necessary.
Ventilation mask
1. If necessary, use the elbow supplied with the hose system to allow you to optimize the
route of the hose system, depending on the patient's position.
50 EN Operation
Caution!
Using the elbow increases the dead space of the hose system. Take this into account
when setting the ventilation parameters. Otherwise the success of treatment may be
compromised.
2. Attach the mask to the hose system.
3. If necessary, introduce a Guedel oropharyngeal tube to keep the patient's airways free.
4. Place the ventilation mask over the patient's mouth and nose.
5. Tilt back the patient's head and, at the same time, hold the mask tight against the
patient's face with the C grip.
Notice:
All the displayed measurements for flow, volume, or MV relate to ambient
temperature and ambient air pressure.
Operation EN 51
Displayed measurements
During ventilation, the following parameters are displayed
as numbers:
– O2i: inspiratory O2 concentration measured by the
unit
– Vte: expiratory tidal volume/breath volume
– f/(fsp): respiratory rate/number of spontaneous
breaths per minute and the corresponding alarm
limit
– MVe: expiratory minute volume and the
corresponding alarm limits
– etCO2: end-tidal CO2 concentration (only with
units equipped with optional CO2 measurement)
and the corresponding alarm limits.
If you deactivate CO2 suction in the Options | CO2
configuration menu, the CO2 display is crossed out
in red.
If you select two curves and measurements for your curve
display, you will be shown the following measurements in
the display:
– pPeak: Peak pressure in mbar
– pPlat: Plateau pressure in mbar
– pMean: Mean pressure of all measurements in
mbar
– Vleak: Leakage in % Vti
52 EN Operation
If you have a unit equipped with CO2 measurement, you
can vary the display as follows:
– Pressure, flow
– Pressure, CO2
– Pressure, flow, CO2
– Pressure, flow, measurements
– Pressure, CO2, measurements
– Gauge (only in volume-controlled modes)
Notice
The cover is not required when connecting the in-
halation adapter to the patient-side port of the pa-
tient hose system. In this case, the connection plug
of the measuring hose system blocks the measur-
ing ports instead.
Operation EN 53
5. Select "Adult", "Child", "Infant", or "Height" and
confirm your selection.
The "Mode" submenu opens.
54 EN Operation
Display of alarms
MEDUMAT Transport displays alarms as follows:
• High priority
– LED flashes red
– "High priority" alarm sounds every 8 seconds
– Alarm text appears in info field; info field flashes
Info field red
– Corresponding alarm limit in the measurement
field flashes red
• Medium priority
– LED off
– "Medium priority" alarm sounds every 15 seconds
– Alarm text appears in info field; info field flashes
yellow
– Corresponding alarm limit in the measurement
field flashes yellow
• Low priority
– LED off
– "Low priority" alarm sounds every 30 seconds
– Alarm text appears in info field; info field has
turquoise background
Set alarms are displayed in the "Alarm Limits" menu in
their priority color (see "7.2 Alarm Limits" on page 85).
Operation EN 55
Notice
• Following the start of ventilation, all alarms are
automatically muted for 120 seconds. This is with
the exception of the technical alarms "Supply
pressure < 2.7 bar", "Battery almost empty", and
"Device malfunction", which cannot be muted.
During this time, visual alarms are still displayed.
• The acoustic alarm output is permanently muted in
NVG mode.
Notice:
The unit still uses up electricity in standby mode. If the unit does not need to be used
for a long time or is not connected to the power supply, we recommend switching
it off completely. To do so, hold down the On/Standby/Off button until the LED alarm
goes out (approx. 10 seconds).
56 EN Operation
5.14 Calculating the Oxygen level/Operating time
Caution!
When calculating the oxygen level in the cylinder, take into account the unit's O2
consumption (see "14.5 O2 consumption of the unit" on page 149). Otherwise you
may miscalculate how long the cylinder will last, which may impair the success of
treatment.
Example 1:
O2 supply = 1000 l; Vt x f = 11 l/min; 100% O2, O2 consumption 0.3 l (see "14.5 O2
consumption of the unit" on page 149).
This gives:
1000 l 100
Ventilation operating time (min) = -------------------------- × ---------------- = 88 min = 1 h 28 min
11.3 l/min 100%
If MEDUMAT Transport is operated with an O2 concentration less than 100%, the operating
time will increase correspondingly.
Operation EN 57
5.15 Alternative ventilation
In the event of the MEDUMAT Transport breaking down during ventilation, you have the
following alternatives:
Ventilation bag
1. Pull the patient valve off the tube or mask.
2. Attach the ventilation bag, e.g., COMBIBAG WM 11000 from WEINMANN Emergency
and perform manual ventilation.
Oxygen failure
If the oxygen supply fails or no medical oxygen is available, the MEDUMAT Transport can
also be operated with sterile compressed air or concentrator oxygen (see "Options" on
page 91).
Caution!
Do not remove the battery whilst the device is in operation, as this prevents the
settings for the last patient being safely stored. Always switch off the device first.
3. Pull the low battery currently in use out of the unit's battery compartment.
4. Insert the replacement battery into the compartment until you hear an audible click.
5. Switch on the device.
6. To adopt the settings entered before changing the battery: Click on "Previous patient"
in the Start menu to call up the settings.
7. Continue with ventilation.
58 EN Operation
5.17 Battery management
MEDUMAT Transport has an internal power supply with a rechargeable battery.
Two battery versions are available:
• BATTERY pack Plus WM 28385 for internal and external charging; can be
recharged either in the unit or using an external power supply unit
WM 28937; charge level can be checked on the battery.
• BATTERY pack WM 28384 for internal charging; can only be recharged
in the unit; charge level can be checked on the battery.
For recharging the battery, an external DC power supply with 12 – 15 V (internal charging)
or 15 V (external charging) is required. Use only the vehicle/aircraft on-board electrical
power supply or, if charging from the mains, use power supply unit WM 28937.
MEDUMAT Transport can be operated from an external power supply when the battery is
empty. The battery is charged while the unit is in operation but charging takes longer than
when the unit is switched off.
Caution!
• Never operate the unit without a battery because any voltage dips in the
power supply cannot then be bridged. This would mean that
uninterrupted ventilation of the patient could not be guaranteed.
• Battery-operated medical devices have a limited operating period.
MEDUMAT Transport can normally be operated for 7.5 hours (see "14.1
Specifications" on page 142) without an external power supply,
provided that the battery is fully charged. You should therefore ensure
that the battery is always as fully charged as possible, or that you have a
spare battery ready for use.
Operation EN 59
Charge level indication on the battery itself
When the battery is removed from the unit, you can also
check the charge level on the battery itself. The charge
level is indicated by 4 green LEDs. Press the button on the
battery (see drawings opposite).
Capacity indicator Battery charge level
4 LEDs 100%
3 LEDs 75%
2 LEDs 50%
Button 1 LED 25%
Capacity
1 LED flashing less than 10 minutes charge left
indicator
Status LED
The battery's charge level is indicated by the status LED
Status LED Battery status
LED glows green Battery fully charged
LED flashes green Battery is being charged
Accu-Pack Plus LED glows red Battery faulty. Do not use.
MEDUMAT Transport
WM 28385
60 EN Operation
Unit off Unit on
Problem during
red red
charging (current charge level)
Battery is being
off off
discharged (current charge level)
Battery missing or
off red
faulty (current charge level)
Charging batteries
MEDUMAT Transport starts charging the battery automatically, as soon as the following
conditions are met:
• External power supply with at least 12 V DC is
connected
• The battery is not full (<95% charge)
• Battery temperature not above 45°C or below +5°C
Notice:
The battery WM 28385 has its own charging interface,
so it can also be charged outside the MEDUMAT
Charging indicator Transport. Only use the power supply unit WM 28937.
If charging cannot be started, e.g., because the battery
temperature is outside the permitted range (+ 5°C -
45°C), the charging indicator glows red. It only goes
out once all the conditions for starting charging are
met.
While the battery is being charged, the charging indicator
flashes green.
Notice:
If the battery is deeply discharged and you charge it in
the device, the red alarm LED will light up for a short
period of time. It goes out again when the battery
charge level progresses.
Operation EN 61
Ending battery charging
MEDUMAT Transport automatically determines the optimum point at which to end
charging by measuring and evaluating the charging curve and battery temperature. As
soon as charging has ended, the charging indicator glows green continuously.
62 EN Operation
6. Ventilation modes
You can select different ventilation modes in the "Mode"
menu (see "5.5 Selecting a ventilation mode" on
page 47). This section describes:
• Classification of the ventilation modes (see "6.1
Classification of the ventilation modes" on page 63)
• Important ventilation parameters (see "6.2 Important
ventilation parameters" on page 65)
• Additional functions and safety functions (see "6.3
Additional functions and safety functions" on page 66)
• Pressure-controlled ventilation modes (see "6.4
Pressure-controlled ventilation modes" on page 68)
• Volume-controlled ventilation modes (see "6.5
Volume-controlled ventilation modes" on page 78)
Patient
Ventilator
0%
assisted
ventilation Spontaneous respiration
controlled respiration
Ventilation modes EN 63
The following ventilation modes are available in the unit:
Spontaneous
Control parameter Controlled ventilation Assisted ventilation
respiration
Pressure PCV BiLevel + ASB, aPCV CPAP + ASB
Pressure + Volume PRVC + ASB
S-IPPV
Volume IPPV
SIMV + ASB
Setting ventilation parameters can cause the classification of the ventilation modes to
change.
The following trigger options are possible in the different ventilations modes:
Trigger time slot
Mode Inspiration trigger Expiration trigger for mandatory ASB breath
breaths
BiLevel + ASB yes yes 20% of Te yes
aPCV yes no 0% - 100% of Te no
PCV no no - no
CPAP + ASB yes yes - yes
PRVC + ASB yes yes 20% of Te yes
IPPV no no - no
S-IPPV yes no 100% of Te no
SIMV + ASB yes yes 20% of Te yes
64 EN Ventilation modes
6.2 Important ventilation parameters
Unit behaviour/
Ventilation parameter Explanation
Special features
In certain circumstances it may
no longer be possible to
achieve breath volume with
volume-controlled ventilation.
Vt Tidal volume (breath volume)
If airway pressure reaches the
set limit pMax, it will be
limited to the value pMax
(pressure-limited ventilation).
pInsp Inspiration pressure >30 mbar = red light flashes
Positive end-expiratory
PEEP >15 mbar = red light flashes
pressure (CPAP)
Freq Respiratory rate <5/min = red light flashes
Ratio of inspiration time to
I:E Inverse ratio = red light flashes
expiration time
Pressure is limited to this value
by the unit. Can be set from
3 mbar - 65 mbar. pMax is
pMax Maximum inspiratory pressure
displayed as a red line in the
pressure curve in all ventilation
modes.
Notice:
Choose values which only cause the red light to flash in the case of special
indications.
Ventilation modes EN 65
6.3 Additional functions and safety functions
NIV
NIV: Non-Invasive Ventilation (Mask ventilation)
Caution!
• If the NIV function is not activated during ventilation with leakage, the
patient can only trigger the unit by greatly increasing his/her respiratory
efforts. This may endanger the success of treatment.
• In certain circumstances, the required O2 concentration may not be
achieved during ventilation with leakage. This is for technical reasons and
does not indicate a malfunction. When the NIV mode is activated, the
alarm limit for "O2 concentration ↑" is therefore automatically set to
20 Vol%.
Apnea ventilation
Apnea ventilation is a safety function which causes the
unit to take over and continue ventilation if the patient
stops breathing (Apnea). If the patient is no longer
breathing spontaneously and the set Apnea time (see "7.2
Alarm Limits" on page 85) in the "Alarm Limits" menu has
elapsed, the unit will ventilate the patient (mandatorily)
with a preset ventilation mode. A high-priority alarm
sounds and the mode function indicator flashes red.
Apnea ventilation is available in the ventilation modes
BiLevel + ASB, aPCV, CPAP + ASB, PRVC + ASB, S-IPPV,
and SIMV + ASB.
66 EN Ventilation modes
You can activate or deactivate apnea ventilation in the
"Apnea ventilation parameters" menu. The "Apnea
mode" menu item allows you to select which ventilation
mode the unit utilizes during apnea ventilation:
• BiLevel + ASB (pressure-controlled)
• SIMV + ASB (volume-controlled)
In this menu, you can also set the ventilation parameters for
Apnea ventilation. If you do not set any ventilation parameters,
the unit adopts the presettings for these ventilation modes
according to the patient (Infant, child, adult).
Pre-oxygenation
Pre-oxygenation is a function which enables the oxygen
content in a patient's lungs to be increased quickly, e.g., in
preparation for intubation.
The device administers a flow of 10-25 l/min with 100%
O2, which can be set in the menu item "Pre-oxygenation".
Pressure is limited to 10 mbar for safety reasons.
You can select pre-oxygenation in the "Mode" menu (see
"6. Ventilation modes" on page 63). To deactivate pre-ox-
ygenation, switch to another ventilation mode.
Inhalation
Inhalation is a function which makes it possible to increase
the oxygen content in a patient's lungs. The inhalation
flow can be set at a value between 0 l/min and 10 l/min.
The unit administers a flow of 100% O2 which can be set
in the menu item "Inhalation".
You can select inhalation in the "Mode" menu (see "6.
Ventilation modes" on page 63).
Caution!
In the case of oxygen inhalation, check that the inhalation
hose is connected and the measuring ports on the
MEDUMAT Transport are blocked (see "4.3 Connecting
the inhalation adapter" on page 34).
Ventilation modes EN 67
6.4 Pressure-controlled ventilation modes
Caution!
Ventilation pressure is limited to pMax in the pressure-controlled modes
(pressure limitation). A high-priority alarm is triggered when this pressure limit is
reached.
BiLevel + ASB
BiLevel: ventilation at two pressure levels
ASB: Assisted Spontaneous Breathing
1 2 3 4 5
You can set the following ventilation values using the control knobs:
Function
Ventilation Control Control Control Control Navigation Function Function
button
mode knob 1 knob 2 knob 3 knob 4 knob 5 button 6 button 7
8
I:E and
BILEVEL +
PEEP pInsp pMax Freq. Select/ Δ pASB Trigger Mode
ASB Confirm
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
68 EN Ventilation modes
Pressure
pMax
automated ventilation assisted respiration
pInsp
Pressure
ramp
dP dP Δ pASB
dT dT
PEEP
Time
TI=Tinsp 1/Freq.
(spontaneous)
1/Freq. (set)
The BiLevel + ASB mode is used for pressure-controlled ventilation combined with free
spontaneous respiration at pressure levels pInsp and PEEP during the entire breathing cycle
and for adjustable pressure support at PEEP level.
This mode is used on patients who have no spontaneous respiration or on spontaneously
breathing patients. The BiLevel + ASB ventilation mode is also used as the mode for Apnea
ventilation (see "Apnea ventilation" on page 66).
The patient can trigger a mandatory, pressure-controlled mechanical breath during a
predetermined trigger time slot. The trigger time slot is 20% of the expiration time Te
before the anticipated mandatory mechanical breath. For the rest of the time, the patient
can breathe spontaneously or with the aid of pressure support (see "CPAP + ASB" on
page 74).
Tidal volume and minute volume are determined by the set pInsp, lung compliance and the
set inspiration time Ti.
Ventilation modes EN 69
aPCV
aPCV: assisted Pressure Controlled Ventilation
Warning!
• Risk of hyperventilation! Continuously monitor the patient's measured
respiratory rate and measured minute volume in order to prevent
hyperventilation. To this end, set a narrow alarm limit for the f ↑ alarm, in order
to recognize the risk of hyperventilation in good time.
• Risk of air trapping! Continuously monitor the airway pressure in order to
prevent air trapping.
• Risk of intrinsic PEEP! An expiration that is too short can cause the pressure to
increase slowly at the end of the expiration. Monitor the sensitivity of the
inspiratory trigger. If the set PEEP is exceeded, a high-priority alarm (PEEP ↑)
guarantees the safety of the patient.
1 2 3 4 5
You can set the following ventilation values using the control knobs:
70 EN Ventilation modes
You can find more setting options under the menu item "Advanced ventilation parame-
ters" in the "Main menu" (see "7.4 Advanced ventilation parameters" on page 87).
Pressure
pMax
Automated Synchronized Automated
ventilation automated ventilation
pInsp ventilation
Pressure
ramp
dP
dT
PEEP
Time
1/Freq. (current) ΔT
1/Freq. (set)
1/Freq. (set)
The aPVC mode is used for pressure-controlled, assisted ventilation at a fixed mandatory
ventilation rate.
In case of spontaneous respiration, the patient has the possibility of increasing the rate and
consequently the minute volume MV. If the patient displays a spontaneous respiratory ef-
fort within a specified time slot of the expiration, the mandatory mechanical breath is syn-
chronized with the patient's respiration. The time slot or trigger time slot can be set in %
of Te before the next expected mandatory mechanical breath. If the patient displays a
spontaneous respiratory effort outside of the set trigger time slot, no mandatory mechan-
ical breath is triggered.
Ventilation modes EN 71
PCV
PCV: Pressure Controlled Ventilation
1 2 3 4 5
You can set the following ventilation values using the control knobs:
Ventilation Control Control Control Control Navigation Function Function Function
mode knob 1 knob 2 knob 3 knob 4 knob 5 button 6 button 7 button 8
I:E and
PCV PEEP pInsp pMax Freq. Select/ - - Mode
Confirm
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
72 EN Ventilation modes
Pressure
pMax
pInsp
Pressure
ramp
dP
dT
PEEP
Time
PCV mode is used for mandatory pressure-controlled ventilation with fixed pressure levels.
This mode is used on patients who have no spontaneous respiration. However, a
spontaneously breathing patient can breathe deeply and freely during expiration.
The set maximum pressure limitation (pMax) ensures the safety of the patient.
Ventilation modes EN 73
CPAP + ASB
CPAP: Continuous Positive Airway Pressure
ASB: Assisted Spontaneous Breathing
1 2 3 4 5
You can set the following ventilation values using the control knobs:
Ventilation Control Control Control Control Navigation Function Function Function
mode knob 1 knob 2 knob 3 knob 4 knob 5 button 6 button 7 button 8
Select/
CPAP + ASB PEEP - pMax - Confirm Δ pASB Trigger Mode
only
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
74 EN Ventilation modes
Pressure
pMax
ΔpASB
CPAP / PEEP
Time
The CPAP + ASB mode can be separated into its individual elements:
The set value CPAP/PEEP is used to increase the pressure level of respiration in order to raise
the functional residual capacity (FRC) of a spontaneously breathing patient.
The ASB mode is used for pressure support of insufficient or exhausted spontaneous
respiration. The patient is able to breathe spontaneously without any restriction, but is
supported in his breathing effort by MEDUMAT Transport.
The CPAP + ASB mode is used exclusively on patients with adequate spontaneous
respiration.
In principle, the pressure is set at the end of expiration (PEEP). In addition, pressure support
(Δ pASB) can be switched on if needed. Ventilation can be individually adjusted to suit the
patient with the aid of the inspiratory and expiratory triggers. The inspiratory trigger
indicates a sensitivity for triggering pressure support. The expiratory trigger determines
when the unit should switch off pressure support, which enables the administered volume
and the inspiration time to be set indirectly.
The set maximum pressure limitation (pMax) ensures the safety of the patient.
Ventilation modes EN 75
PRVC + ASB
PRVC: Pressure Regulated Volume Controlled Ventilation
ASB: Assisted Spontaneous Breathing
1 2 3 4 5
You can set the following ventilation values using the control knobs:
Ventilation Control Control Control Control Navigation Function Function Function
mode knob 1 knob 2 knob 3 knob 4 knob 5 button 6 button 7 button 8
I:E and
PRVC + ASB PEEP Vt pMax Freq. Select/ Δ pASB Trigger Mode
Confirm
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
76 EN Ventilation modes
Pressure
pMax
Safety
pPlat pInsp (variable) margin 5 mbar
Increments
max. 3 mbar
PEEP
Time
The controlled ventilation mode PRVC + ASB combines the advantages of both pressure-
controlled ventilation and volume-controlled ventilation. The set tidal volume is applied
with the minimum ventilation pressure possible.
Ventilation begins with three volume-controlled breaths with the set tidal volume and
decreasing flow. The volume-controlled breaths have a plateau time of 50% of the
configured inspiration time Ti. The unit selects the measured plateau pressure as starting
value for the inspiratory pressure pInsp of the following pressure-controlled ventilation. It
measures the administered volumes and adjusts the ventilation pressure accordingly. If the
lung parameters change during ventilation, the unit alters the inspiratory pressure pInsp in
increments of a maximum of 3 mbar in order to achieve the set tidal volume again and
thereby automatically compensate for changes in the patient.
Measuring the applied volume is improved by compensating hose compliance. This enables
precise control of the required tidal volume, in particular of small tidal volumes under high
airway pressures.
The set maximum pressure limitation (pMax) ensures the safety of the patient. For safety
reasons inspiratory pressure pInsp is 5 mbar below the set maximum pressure limitation
(pMax). Once maximum ventilation pressure (pMax - 5 mbar) is achieved, the unit
administers as much volume as possible. If this volume deviates from the set tidal volume,
the unit triggers the low-priority alarm "Vt not achievable".
Ventilation modes EN 77
6.5 Volume-controlled ventilation modes
Warning!
Risk of inconsistent volume once pressure limitation pMax is reached! Monitor the
patient continuously throughout volume-controlled ventilation modes and change
the setting parameters if necessary. Once the pressure limitation is reached, a high-
priority alarm (airway pressure ↑) guarantees the safety of the patient.
IPPV
IPPV: Intermittent Positive Pressure Ventilation
1 2 3 4 5
You can set the following ventilation values using the control knobs:
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
78 EN Ventilation modes
Pressure
pPlat
PEEP
Time
The IPPV mode is used for mandatory volume-controlled ventilation with a fixed tidal
volume. This mode is used on patients who have no spontaneous respiration. However, a
spontaneously breathing patient can breathe deeply and freely during expiration.
The set maximum pressure limitation (pMax) ensures the safety of the patient.
Ventilation modes EN 79
S-IPPV
S-IPPV: Synchronized Intermittent Positive Pressure Ventilation
Warning!
• Risk of hyperventilation! Continuously monitor the patient's measured
respiratory rate and measured minute volume in order to prevent
hyperventilation. To this end, set a narrow alarm limit for the f ↑ alarm, in order
to recognize the risk of hyperventilation in good time.
• Risk of air trapping! Continuously monitor the airway pressure in order to
prevent air trapping.
• Risk of intrinsic PEEP! An expiration that is too short can cause the pressure to
increase slowly at the end of the expiration. Monitor the sensitivity of the
inspiratory trigger. Once the set PEEP is exceeded, a high-priority alarm (PEEP ↑)
guarantees the safety of the patient.
1 2 3 4 5
You can set the following ventilation values using the control knobs:
80 EN Ventilation modes
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
Pressure
synchronized automated
automated ventilation ventilation
pMax
pPlat
PEEP
Time
1/Freq. (current) ΔT
1/Freq. (set)
The S-IPPV mode is used for volume-controlled ventilation with a variable mandatory
minute volume MV. Throughout the entire expiratory phase, a trigger is active which
enables the patient to trigger a new breath. This means the patient has the option of
increasing the respiratory rate and therefore the minute volume MV, and adapting these
to his/her needs. As a rule this mode is used on patients who have inadequate spontaneous
respiration.
Ventilation in the S-IPPV mode corresponds to ventilation in the IPPV mode with the
difference that it is possible to synchronize ventilation with the patient's efforts to inhale.
Since the setting for the respiratory rate is lower, the patient can trigger mandatory
mechanical breaths spontaneously. A trigger time slot extending throughout the expiration
time is available for this synchronization.
Ventilation modes EN 81
SIMV + ASB
SIMV: Synchronized Intermittent Mandatory Ventilation
ASB: Assisted Spontaneous Breathing
1 2 3 4 5
You can set the following ventilation values using the control knobs:
Ventilation Control Control Control Control Navigation Function Function Function
mode knob 1 knob 2 knob 3 knob 4 knob 5 button 6 button 7 button 8
I:E and
SIMV + ASB PEEP Vt pMax Freq. Select/ Δ pASB Trigger Mode
Confirm
You can find more setting options under the menu item "Advanced ventilation
parameters" in the main menu (see "7.4 Advanced ventilation parameters" on page 87).
82 EN Ventilation modes
Pressure
pMax
automated ventilation assisted synchronized automated
spontaneous ventilation
spontaneous respiration
pPlat respiration
ΔpASB
PEEP
Time
1/Freq. (current) ΔT
1/Freq. (set)
The SIMV + ASB mode is used for volume-controlled ventilation with a fixed mandatory
minute volume MV.
The patient can breathe spontaneously between the mandatory mechanical breaths and
thereby increase the minute volume.
During spontaneous respiration, the mandatory mechanical breath is synchronized with
the patient's breathing. The mandatory minute volume and the mandatory respiration rate
remain unchanged.
The set maximum pressure limitation (pMax) ensures the safety of the patient.
The SIMV + ASB ventilation mode is also used as the mode for Apnea ventilation
(see "Apnea ventilation" on page 66).
The patient can trigger a mandatory, pressure-controlled mechanical breath during a
predetermined trigger time slot. The trigger time slot is available in the final 20% of
expiration time Te. For the rest of the time, the patient can breathe spontaneously or with
the aid of pressure support (see "CPAP + ASB" on page 74).
Ventilation modes EN 83
7. Main menu
In the main menu, you can optimize the unit's settings to
suit the particular operating conditions. The main menu
can be called up at any time using the "Main menu"
function button.
Notice:
This overwrites the values set in "Alarm Limits" (see
"7.2 Alarm Limits" on page 85).
84 EN Main menu
Automatic alarm calculation for the Apnea alarm
Depending on the set percentage, the Apnea alarm is set to 4 (10%), 5 (20%) or 6 (30%)
respiratory periods. The length of a respiratory period is 60/f in seconds, i.e., with a
measured respiratory rate of, for example, 15/min, the increments for the Apnea alarm
limit are 16 s, 20 s, and 24 s.
Main menu EN 85
7.3 Curves
In this menu, you can vary the display for monitoring
ventilation.
You can make the following settings:
Parameters Setting range
Pressure, flow
Pressure, CO2
Pressure, flow, CO2
Curves
(Units equipped with Pressure, flow, measurements
CO2 measurement) Pressure, CO2, measurements
Pressure gauge
(only available in volume-
controlled modes)
Curves Pressure, flow
(Units without CO2
measurement) Pressure, flow, measurements
86 EN Main menu
7.4 Advanced ventilation parameters
To achieve optimum results during transport ventilation,
you can configure settings in the "Advanced ventilation
parameters" menu, depending on the particular mode
selected.
The non-selectable functions in a particular ventilation
mode are not shown.
Pressure ramp
With this function you can set how quickly the inspiratory
ventilation pressure should be reached.
You can make the following settings:
Parameters Setting range
Flat ramp slow pressure rise
Medium ramp medium pressure rise
Steep ramp fast pressure rise
Notice:
How quickly the set pressure is actually reached
depends on the patient, any possible leakage (NIV) and
the set ventilation parameters.
Flow ramp
With this function you can set how fast the inspiratory
flow should be reached.
You can make the following settings:
Parameters Setting range
Flat ramp slow flow rise
Medium ramp medium flow rise
Steep ramp fast flow rise
Main menu EN 87
Notice:
How quickly the set flow is actually reached depends on
the patient, any leakage (NIV) and on the set ventilation
parameters.
Flow progress
With this function you can set the flow progress.
You can make the following settings:
Parameters Setting range
decreasing
Flow progress constant
Plateau time (0% Ti - 50%Ti)
Trigger thresholds
With this function you can set the inspiratory and
expiratory trigger threshold and the trigger time slot.
You can make the following settings:
Parameters Setting range
Inspiration 1 l/min - 15 l/min
Expiration 5% Flow max - 50% Flow max
Trigger time slot 0% Te - 100% Te
88 EN Main menu
ventilation. In contrast, at a setting of 100% Te, the
patient has the possibility of triggering a mechanical
breath at any point in the whole expiration time.
Alternatively, you can also set the trigger time slot on the
right in the display, using the trigger time slot function key.
Main menu EN 89
7.6 Audio/Video
This menu can be used to set the display brightness, alarm
volume, and alarm LED:
• Display brightness: Here you can set the display bright-
ness for day colors, night colors, and in NVG mode sep-
arately.
• Alarm volume: Here you can set the volume of all the
alarms. If the alarm volume is set to <50%, the sym-
bol appears in the display and the symbol in the
measurement fields. It is only possible to set the alarm
volume to <50% if the menu item Allow 0% audio vol-
ume has been activated in the operator menu (see "8.6
User Settings" on page 105).
Notice:
If you set the alarm volume to <50%, the device’s alarm
function no longer complies with the EN 60601-1-8
and EN 794-3/EN 10651-3 standards.
• Alarm LED: You can activate or permanently deactivate
the alarm LED here. The alarm LED can only be activat-
ed/deactivated if the menu item Allow alarm LED off
has been activated in the operator menu (see "8.6 User
Settings" on page 105).
Notice:
If you deactivate the alarm LED, the device’s alarm func-
tion no longer complies with the EN 60601-1-8 and
EN 794-3/EN 10651-3 standards.
You can make the following settings:
90 EN Main menu
Parameters Setting range
Brightness/NVG (only
when NVG option is 10%-100%
enabled)
50%-100%
Volume 0%-100% (only when NVG
option is enabled)
Alarm LED (only
0%
when NVG option is
100%
enabled)
7.7 Options
CO2 configuration
In this menu, you can activate CO2 suction. You can only
access this menu if you have a unit equipped with CO2
measurement.
Main menu EN 91
In the menu, you can select which unit of measurement
the CO2 concentration should be displayed in.
You can make the following settings:
Parameters Setting range
mmHG
Unit Vol%
kPa
Date, time
In this menu, you can set the current date and time.
You can make the following settings:
Parameters Setting range
Year
Month
Date, time Day
Hour
Minute
Notice:
The date and time are also used for the unit's internal
operations. Therefore they should both be checked
regularly and corrected if necessary.
Device data
In this menu you can see the software version of your
device (with date) and the date and time of the most
recent function check passed.
92 EN Main menu
Bluetooth
This menu enables you to activate or deactivate a Blue-
tooth connection. With the Bluetooth connection activat-
ed, an application documentation system can connect to
MEDUMAT Transport in order to retrieve application data.
For this you need the bluetooth pin 6398 displayed in this
menu. This menu only appears if the data communication
option has been enabled.
You can choose the following settings:
Parameters Setting range
Activated
Bluetooth
Deactivated
Notice:
The function keys "100% O2" and "FiO2" and the
"O2 concentration ↓" alarm are deactivated when
compressed air is used.
Main menu EN 93
Hygiene input filter (optional)
In this menu you can reset the hygiene input filter counter
after a filter change. The remaining life of the hygiene in-
put filter is shown in percent and is 100% when you have
changed the hygiene input filter.
Requirements for this function:
• Hygiene input filter installed
• Function activated in the operator menu (see "8.6
User Settings" on page 105)
94 EN Main menu
You can activate the NVG mode here. When the NVG
mode is activated, the device behaves as follows:
• Alarm LED deactivated
• Acoustic alarm output for all alarms permanently deac-
tivated
• Coloring of the display optimized for night vision devices
• symbol in display and symbol in measurement
fields
• Display brightness reduced as per preset (see "7.6 Au-
dio/Video" on page 90)
This menu item only appears if you enable the NVG option
in the operator menu (see "8.5 Options" on page 105).
This option is only permitted for use in the military sector.
A device in NVG mode does not comply with the following
standards with respect to alarm output:
• EN 60601-1-8
• EN 794-3/EN 10651-3
The operator assumes the resulting risk for operation.
Main menu EN 95
8. Operator menu
In the operator menu, you can optimize the unit's settings
to suit the particular operating conditions. The operator
menu can be opened as follows when the device is started
up.
If the progress bar fails to turn blue, switch the device off
completely and then back on again. Then repress the two
function buttons.
Notice:
You can see where you are in the operator menu
by means of the blue highlighting (blue selection
bar) of the respective field. The starting position of
the blue selection bar in the operator menu is
always the central field at the top in the menu bar
(here: Scroll: Page 1).
The menu bar also displays the respective page
name in English (field on left highlighted in brown,
here: Password Page).
96 EN Operator menu
1. To call up a specific page of the operator menu, turn
the navigation knob until the required page is dis-
played.
2. Press the navigation knob.
The first menu item of the selected page is highlighted
in blue.
3. In order to call up a menu item on a page, turn the nav-
igation knob until the selection bar is on the required
menu item.
4. Press the navigation knob.
The required menu item is highlighted in green.
5. To change a value, turn the navigation knob until the
required value is displayed.
6. Press the navigation knob.
The changed value is highlighted in blue and saved.
Operator menu EN 97
MEDUMAT Transport operator menu
Enter operator menu
Password Page Change operator password
Enter service menu
IPPV
BiLevel + ASB
CPAP + ASB Edit ventilation settings
Ventilation Modes
PCV Edit alarm limits
SIMV + ASB
S-IPPV
PRVC + ASB
aPCV
Pre-oxygenation
Inhalation
Service Files
Mission Logs
File Import/Export Screenshots
Export Presets
Import Presets
Software Update
Device ID
Bluetooth communication test
Options
Bluetooth communication
NVG
IPPV
Emergency mode
BiLevel + ASB
Vt/kg body weight
Suction filter
Allow NVG
98 EN Operator menu
8.1 Password Page
Before you enter the access code, the current software ver-
sion of the unit is displayed on the start screen (Password
Page) of the operator menu. The operator menu is protect-
ed by a four-digit access code. On delivery, the access code
for the operator menu is "0000". You can enter the access
code for the operator menu either using the navigation
knob or the context-dependent function keys.
1. Press the button or the navigation knob to select
the "Enter operator menu" line.
2. Enter the access code.
3. Press the button or the navigation knob to confirm
your input.
In this menu, you can then also change the access code
("Change operator password").
Operator menu EN 99
Notice:
If a ventilation mode is already deactivated , you
cannot call up its presets.
Caution!
Only USB sticks which conform to the USB standard 2.0
should be inserted in the USB port. Otherwise the oper-
ation of the unit might be disrupted, putting the patient
at risk.
Notice:
When you export the presets for a device, the password
for the operator menu is also exported. When the set-
tings are imported to another device, the other device
also adopts this password. If you do not wish to adopt
the customer-specific password for the operator menu,
you have two options:
• Before the export: Reset the password to "0000"
and export the presets
• After the import: Set the password to "0000"
before exiting the operator menu
3. Select the "Export" field of the data record you wish to
export and confirm your selection.
If the export is successful, "exported" appears in the
line of the exported data record.
4. Select BACK and confirm your selection.
5. Remove the USB stick from the device.
Follow the corresponding procedure when importing data
onto the device.
Caution!
Only USB sticks which conform to the USB standard 2.0
should be inserted in the USB port. Otherwise the oper-
ation of the unit might be disrupted, putting the patient
at risk.
Notice:
Ensure that the battery of the MEDUMAT Trans-
port is at least 50% charged or that the device is
connected up to the power supply. Otherwise the
update will not start and the following message
appears: "Battery capacity < 50%! To perform an
update, please connect device to power supply."
We recommend always connecting the device to
the power supply before performing an update.
Notice:
It can take a moment for the MEDUMAT Transport
to detect the USB stick.
Notice:
It is not possible to install an earlier software
version than is already installed on the device.
8.5 Options
This menu contains the device ID. You can also enable the
Bluetooth communication option and NVG option.
You require an option code to install the Bluetooth com-
munication option and NVG option. You can obtain this
from the WEINMANN Emergency customer service depart-
ment.
If you enable the NVG option, the following menu items
are activated automatically (see "8.6 User Settings" on
page 105):
• Allow 0% audio volume
• Allow alarm LED off
• Allow NVG
Notice:
Depending on the software version, additional lan-
guages may be available.
Suction filter
This menu item enables you to indicate that you changed
the suction filter before the filter service life expired. Doing
so resets the suction filter counter. This menu item is not
available if you activate the hygiene input filter in the op-
erator menu.
Allow NVG
This menu item allows you to activate the "NVG" menu
item in the main menu (see "7.9 NVG (Night Vision Gog-
gles)" on page 94). This menu item is only visible if you
have enabled the NVG option in the operator menu (see
"8.5 Options" on page 105).
Caution!
• Never rinse off the BiCheck flow sensor under running water. Ingress of
a water stream or jet may damage the BiCheck flow sensor. Take
particular care to avoid a water stream or jet directly entering the CO2
outlet. To rinse the BiCheck flow sensor after hygienic preparation, swirl
it carefully in drinking water.
• Never dry the BiCheck flow sensor with compressed gas, as this may
damage the measuring wires in the BiCheck flow sensor. Leave the
BiCheck flow sensor to drip dry for a sufficient length of time.
Alternatively, you can connect the patient hose system, without the test
lung, to the MEDUMAT Transport and actuate several mechanical
breaths.
• For the purpose of thermal disinfection or sterilization, place the BiCheck
flow sensor in a fine-meshed small parts tray with a lid to prevent the
BiCheck flow sensor coming into direct contact with streams or jets of
liquid.
• Do not clean the CO2 outlet with a brush. This can damage the
measuring wires in the BiCheck flow sensor.
Notice:
• The minimum service life of reusable components is at least
30 preparation cycles.
• You can find further information about hygienic preparation and a list of
all the suitable cleaning agents and disinfectants in a brochure on the
Internet at www.weinmann-emergency.com.
Warning!
If this function check reveals any faults or deviations from the specified values, you
must not use the MEDUMAT Transport. Have the unit repaired by WEINMANN
Emergency or an authorized dealer.
You should first try to rectify the fault with the aid of the information provided in section
"11. Troubleshooting"on page 123. If this is not possible, have the unit repaired by the
manufacturer WEINMANN Emergency or by a technician specifically authorized by the
manufacturer.
A full function check comprises:
• Visual inspection for mechanical damage
• Visual inspection of the display
• Visual inspection of the hygiene input filter for mechanical damage and
soiling
• "10.2 Checking the system for leaks"on page 117
• "10.3 Checking the patient valve (reusable hose system only)"on
page 118
• "10.4 Performing a function check"on page 119
We recommend that you always keep the following spare parts available:
– Spare seals for the unit connections
– A replacement dust filter
– PEEP control diaphragm for patient valve
– Check-valve diaphragm for patient valve
– Measuring tube system, including water filter, for CO2
measuring
Notice:
Carry out a visual inspection of the test lung. The test lung must not be damaged.
Repairing leaks
Notice:
Always keep a stock of replacement seals for the connections.
Caution!
The screwed unions of the oxygen tubes must only be tightened by hand.
4. If there is a leak, change the faulty parts.
5. Then check for leaks again.
6. If the leak cannot be corrected, the unit must be repaired.
Display in
Meaning Action
status report
Green check Function check
Use device with-
passed out restriction.
Red cross Function check
Take action
failed (see "Function
check failed" on
page 121).
Gray exclama- function check Repeat the func-
tion point exited tion check.
Suction filter Remaining time Change the filters
(xx days left) until next when the
Hygiene input change following service
filter (xx%) life remains:
– Suction filter:
< 14 days
– Hygiene input
filter: < 10%
16.Press "OK" to confirm the status report.
17.Switch off the device.
18.Close the oxygen cylinder valve.
Warning!
Risk of injury from improperly removed testing bag!
If the testing bag is removed improperly, the connector
of the testing bag may remain on the patient hose sys-
tem. The increased inspiratory airway resistance this
causes can injure the patient.
• Always hold the testing bag by its connector during
removal.
19.Detach the test lung from the patient hose system.
Component Rectification
– Check the test lung for damage and replace if necessary,
then repeat function check (the test lung will naturally
wear with age, which can lead to a failed function check)
BiCheck
– Replace BiCheck flow sensor and repeat function check.
– Replace BiCheck flow sensor connection line and repeat
function check.
– Check the test lung for damage and replace if necessary,
then repeat function check (the test lung will naturally
Hose system wear with age, which can lead to a failed function check)
– Replace diaphragms and repeat function check.
– Replace hose system and repeat function check.
11.1 Troubleshooting
Fault Cause Remedy
MEDUMAT Transport defective Repair by manufacturer/dealer.
MEDUMAT Transport
Battery empty Recharge battery
cannot be switched on
Battery incorrectly inserted Insert battery in the device correctly
Unusually high oxygen Locate and rectify leaks (10.2,
Leak in the oxygen feed line
consumption page 117)
MEDUMAT Transport Hold down button for at least
Operating errors
cannot be switched off 2 seconds.
Rectify short-circuit and wait one
Short-circuit minute, then press the status button
again.
Charging indicator glows Use replacement battery and have
Battery defective
red when status button is defective battery repaired
pressed.
Charge battery within permitted
Battery temperature outside the
temperature range: Move battery to
permitted range (permitted
cooler or warmer ambient temperature,
range for charging: 5°C - 45°C)
as appropriate.
Battery does not respond Battery has run down completely
when status button is and has shut down to prevent Recharge battery
pressed. exhaustive discharge
Unit running time with
Battery has reached end of its
battery operation too Use a new battery.
service life
short
Crossed out battery Battery missing Insert battery.
status indicator symbol
on display Device defective Have device repaired.
Troubleshooting EN 123
Fault Cause Remedy
Battery empty and device not Recharge battery or connect device to
connected to the line power. the line power.
Battery defective and device not Use new battery or connect device to
Alarm LED flashes, connected to the line power. the line power.
acoustic signal sounds,
screen is dark No battery inserted and device Insert battery in device or connect
not connected to the line power. device to the line power.
Switch the MEDUMAT Transport off
Internal error and back on again. If the error persists:
Have device repaired.
No acoustic alarm output
Deactivate NVG (see "NVG (Night
Alarm LED does not light NVG mode activated Vision Goggles)" on page 94).
up
Brightness of the display set too Increase brightness of the display (see
low "Audio/Video" on page 90)
Display too dark
Deactivate NVG (see "NVG (Night
NVG mode activated
Vision Goggles)" on page 94).
124 EN Troubleshooting
11.2 System alarms
Message Alarm Cause Rectification
Change suction filter on
Suction filter or CO2 measurement hose system or
CO2 occlusion medium priority
measuring hose blocked replace complete measurement
hose system
CO2 module defective, Continue ventilation without CO2
CO2 module defective low priority no communication or measurement; have unit repaired
no plausible data as quickly as possible.
CO2 module not
below CO2 ready for Temperature in the unit Continue ventilation without CO2
temperature range operation below 0°C measurement
low priority
Implausible settings
(respiratory rate, tidal Provide adequate gas supply,
Vt not achievable low priority
volume I:E) adjust ventilation parameters
Gas supply inadequate
BiCheck flow sensor
Connect BiCheck flow sensor or
defective or
use fully functional flow sensor.
disconnected
Check BiCheck medium priority BiCheck flow sensor
Connect BiCheck flow sensor
connection line
connection line correctly or use
defective or
fully functional sensor lead.
disconnected
Flow module BiCheck module
medium priority Have unit repaired
defective defective
Oxygen cylinder not
Open/replace oxygen cylinder.
opened/almost empty
Compressed gas source Check connection and feed lines
not correctly connected of compressed gas source.
Supply pressure Compressed gas source
high priority Replace compressed gas source
< 2.7 bar defective
Compressed gas tube Route compressed gas tube so
kinked or squashed that it is not kinked or squashed.
Pressure reducer
Replace pressure reducer
defective
Use 6 bar compressed gas source
Supply pressure Pressure of respiratory
high priority < or switch unit off and
> 6 bar gas too high
disconnect.
Troubleshooting EN 125
Message Alarm Cause Rectification
No unit fault; message appears,
e.g., on removing unit from wall
mounting or portable system or if
External power supply
Battery operation low priority a power failure occurs during
too weak or has failed
operation via the power supply
unit (alarm stops automatically
after 10 seconds).
No battery inserted Insert battery in unit.
No battery medium priority
Battery defective Replace battery.
A further
10 minutes
Battery almost empty operation is Low battery Use replacement battery.
possible, high
priority
Unit's internal
temperature < -20°C
Unit too cold Unit switches off after Move unit to a warmer
Device temperature ↓
high priority 10 minutes if it is not environment.
warmed up to above
-20°C within this time
Move unit to a cooler
Unit's internal
Device temperature ↑ low priority environment. If necessary, switch
temperature > 65°C
unit off to accelerate cooling.
Unit temperature >
+75°C
Move unit to a cooler
Device temperature Unit switches off after
high priority environment. If necessary, switch
critical 10 minutes, or if its
unit off to accelerate cooling.
internal temperature
rises above 82°C
1. Switch the device off (section
"5.13 Ending ventilation").
2. Switch the device back on
again (section "5.2 Switching
the unit on/Self-test").
Device malfunction high priority Internal fault 3. Select "Last patient" and
continue ventilation (section
"5.2 Switching the unit on/
Self-test").
4. If the fault persists, have the
device repaired.
126 EN Troubleshooting
11.3 Physiologic alarms
Message Alarm Cause Rectification
Check state of patient.
MVe high Upper limit value
MVe↑ Check the limit value settings for
high priority exceeded
plausibility.
Check state of patient.
MVe low Lower limit value not
MVe ↓ Check the limit value settings for
high priority reached
plausibility.
Check state of patient.
Hyperventilation
f ↑ Limit value exceeded Check the limit value settings for
medium priority
plausibility.
Apnea No inspiration during Check state of patient.
Apnea
high priority the set time Select mandatory ventilation.
Check hose system and tube; with
Leakage on patient Leak
Vte less than 60% Vti mask ventilation, activate NIV
side high priority
mode.
Check state of patient.
etCO2 high Upper limit value
etCO2 ↑ Check the limit value settings for
high priority exceeded
plausibility.
Check state of patient.
etCO2 low Lower limit value not
etCO2 ↓ Check the limit value settings for
high priority reached
plausibility.
Check parameter setting
Insufficient ambient air Change suction filter
in the respiratory gas or
Change hygiene input filter.
Insufficient O2 supply Use medical O2 supply
Leak when NIV option is Activate NIV option, thereby
deactivated limiting FiO2 to 20%.
O2 concentration ↑ medium priority
Oxygen used instead of Check connected compressed gas
compressed air source
Check setting under "Compressed
Incorrect gas type set gas supply" (see "Options" on
page 91)
PEEP with small volumes
Reduce the PEEP
too high
Troubleshooting EN 127
Message Alarm Cause Rectification
Selected O2
concentration too high, Minimize leakage, select NIV
e.g., during NIV add-in.
ventilation with mask
Activate "Compressed gas
O2 concentration ↓ High priority Sterile compressed air or
supply" function (see "Allow gas
gas other than medical
type selection" on page 107) and
oxygen connected as
select the pressurized gas type
gas supply
(see chapter 7.7 on page 91).
Device defective Have device repaired.
Patient hose leaking/ Replace patient hose/attach it
slipped off correctly
Tube wrongly Check position of tube and
positioned correct if necessary.
Airway pressure ↓ high priority Check position of hoses and
Hoses kinked
correct if necessary.
Check the ventilation setting
Inconsistent ventilation
(pInsp, ramp, Ti ) and correct if
setting
necessary.
Airway obstruction Check state of patient.
Tube wrongly
Position tube correctly
positioned
Airway pressure ↑ high priority
pMax set too low Correct pMax.
Check position of hoses and
Hoses kinked
correct if necessary.
Airway obstruction Check the state of the patient.
Tube wrongly
Position tube correctly
positioned
PEEP ↑ high priority
Check position of hoses and
Hoses kinked
correct if necessary.
Patient valve defective Check patient valve.
128 EN Troubleshooting
12. Maintenance
Maintenance EN 129
Interval Relevant parts Operator
– System components: e.g.,
portable systems, hose
connections
Every 2 years (maintenance and
– Accessories
safety check)
– Test lung
– Oxygen fittings Manufacturer or by a technician
– Device specifically authorized by the
– Oxygen fittings manufacturer.
Every 4 years
– Device
Every 8 years Device
Oxygen cylinders made from
Every 10 years
steel or aluminium
The device, components, and accessories may be contaminated, and infect the tech-
nicians with bacteria or viruses.
Notice
If you send in parts that are obviously contaminated, they will be disposed of at your
expense by WEINMANN Emergency or by a technician specifically authorized by
WEINMANN Emergency.
130 EN Maintenance
12.3 Batteries
The batteries used for MEDUMAT Transport are maintenance-free. Nevertheless, it is
advisable to fully charge them at regular intervals (every 6 - 12 months, depending on the
length of use) and then fully discharge them again.
This complete decharging/charging cycle calibrates the batteries' internal capacity
calculation and so ensures that the charge display is as accurate as possible. After the
learning cycle, charge the battery fully again so that it is ready for use.
Notice:
The batteries used for MEDUMAT Transport do not have a "memory effect".
Therefore you can recharge them when they are only partially discharged without
reducing their capacity or life. However, in terms of their functioning even these
batteries have only a limited life of at least 300 charging cycles.
12.4 Accessories
Separate maintenance intervals and maintenance volumes apply for the accessories to
MEDUMAT Transport. Please observe the respective instructions for use.
Oxygen cylinders must be re-examined on a regular basis. The due date can be found on
the corresponding label on the cylinder.
Notice:
If using a device with hygiene input filter, you only have to change the hygiene input
filter (see "12.6 Changing the hygiene input filter" on page 132). The suction filter
is then changed every 2 years as part of servicing.
Maintenance EN 131
1. Undo the two screws in the filter compartment cover
and remove the cover.
Notice:
Support the cover on one side with a slot-head
screwdriver. This prevents the cover from jamming
while you are lifting it off.
4. Wipe the filter compartment cover with disinfectant and allow to dry.
5. Install the new suction filter with tweezers so that the letters "top" remain visible when
the filter is in place.
6. Refit the cover and screw tight.
7. Perform a function check (see "10. Function check" on page 115).
8. Confirm the suction filter change at the end of the function check.
132 EN Maintenance
3. Remove the hygiene input filter from the device and
dispose of it correctly.
5. Turn the bayonet locks so that they are in line with the
protective ridges.
The hygiene input filter has been changed.
6. Perform a function check (see "10. Function check" on
page 115).
7. Confirm the hygiene input filter change at the end of
the function check.
or
If the hygiene input filter change is not displayed in the
function check: Confirm the hygiene input filter change
in the "Options" menu item (see "7.7 Options" on
page 91).
12.7 Storage
If MEDUMAT Transport is not going be used for a considerable length of time, we
recommend the following procedure:
1. Clean and disinfect the unit (see "9. Hygienic preparation" on page 109).
2. Switch the unit off by pressing the On/Standby/Off button (approx. 10 seconds) until the
alarm LED goes out completely.
3. Store MEDUMAT Transport in a dry place (see "14. Technical Data" on page 142).
Maintenance EN 133
Caution!
Be sure to observe the maintenance intervals even when the unit is in storage, as
otherwise it must not be used when removed from storage.
Notice:
If the device is going to be stored for longer than a week, remove the battery and
store separately. To keep the battery ready for use, charge it every six months.
12.8 Disposal
Ventilator
Do not dispose of the unit in the household waste. Consult
an authorized electronic waste recycling company for the
proper disposal of the unit. You can find out their address
from your environmental officer or from your local council.
The device packaging (cardboard box and inserts) can be
disposed of as waste paper.
Disposal of batteries
Do not dispose of used batteries in the household waste.
Contact WEINMANN Emergency or a public waste disposal
authority.
134 EN Maintenance
13. Product, accessories
13.3 Options
14.1 Specifications
MEDUMAT Transport
Product class according to
IIb
93/42/EEC
Dimensions WxHxD
Dimensions with hygiene 345 mm x 163 mm x 149 mm
input filter WxHxD 365 mm x 163 mm x 149 mm
approx. 4.4 kg; (approx. 4.6 kg with etCO2 measurement)
Weight approx. 4.5 kg with hygiene input filter; (approx. 4.7 kg with etCO2
measurement)
Temperature range
(operation):
– With battery or 12 V
power connection -18°C to +50°C
– With power supply unit
WM 28937 0°C to +40°C
– With CO2 measurement 0°C to +50°C
– When charging the
battery +5°C to +45°C
Operation:
– Humidity 15% to 95% non-condensing
– Air pressure 54 kPa to 110 kPa
65 kPa to 110 kPa (with CO2 measurement)
(Notice: If the unit is operated outside the specified pressure range, the
measurement tolerances and unit tolerances will be exceeded.)
Storage:
– Temperature range -30°C to 70°C
– Humidity 0% to 95% non-condensing
Power supply 12 V - 15 V
Max. current
Imin = 0.5 A; Imax = 3.5 A
consumption
Input voltage (external
100 V-240 V~/50 Hz-60 Hz
power supply unit)
Pressure
sensors
Optional:
et CO2 sensor
Optional:
Hygiene
input filter
PEEP = 20 mbar
PEEP = 15 mbar
PEEP = 10 mbar
PEEP = 5 mbar
PEEP = 0 mbar
Consumption [l/min]
pInsp [mbar]
Notice:
When performing ventilation with a hygiene input filter, the increased resistance in
the suction area can produce a slightly higher O2 concentration (compared with the
O2 concentrations stated here).
O2 concentration
100.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
0.0
0,05
60 mbar counterpressure
30 mbar counterpressure
15 mbar counterpressure
5 mbar counterpressure
0 mbar counterpressure
175
200,0
* The counterpressure describes the resistance of the system as a whole and depends
on the ventilation settings, the hose system used and the resistance and compliance
of the patient.
Vt ( ml )
Device outlet flow(l/min) = ----------------- × 0.06
Ti ( s )
The specified values refer to standard 2 m hose systems. If you have a different hose system
(e.g., of a different length), refer to the instructions for use for the Patient Hose System
WM 66696 for the values that apply to your system.
With the aid of the IBW, the tidal volume can be calculated as follows:
Example
• Patient, male, height 185 cm
• Setting for Vt/kg KG = 6 ml/kg
(1) Source: TRAUB, S.L.; JOHNSON, C.E.: Comparison of methods of estimating creatinine clearance in children. In:
American journal of hospital pharmacy 37, 1980, No. 2, pp. 195–201.
(2) Source: DEVINE, Ben J. Gentamicin therapy. The Annals of Pharmacotherapy, 1974, Vol. 8, No. 11, pp. 650-655.
Pressure
C Peak pressure
Pressure limitation
pMax Resistance
Pressure
D (R .V)
•
E Plateau pressure
B
Increase Compliance
•
Resistance (V/C) Pressure
Pressure (Vt /C)
•
(R .V)
F
PEEP A
Time
Flow phase Plateau phase
•
(V Insp = const.)
Inspiration time Expiration time
Term Explanation
Measurement for the elastic properties (elasticity) of the lungs.
Compliance (C)
Unit: ml/mbar
Flow is the quantity of gas applied to the patient in relation to time.
Heavy flow ventilates quickly, light flow distributes the respiratory
Flow progress gas better in the lungs. The flow should be as light as possible and
only as heavy as is absolutely necessary. Inspiratory flow can remain
constant or decrease.
Inspiratory flow Flow speed at which the respiratory gas volume is applied.
The mechanical breath administered by the ventilator and
predefined by the user. The mandatory mechanical breaths can be
Mandatory mechanical breath
pressure-controlled or volume-controlled. Pressure support (ASB) is
not a mandatory mechanical breath.
The pressure set as the applied pressure in pressure-controlled
Peak pressure (pInsp) ventilation modes or the pressure which builds in volume-
controlled ventilation modes. Highest point of the pressure curve.
Pressure which builds during the plateau time and measured at the
Plateau pressure (pPlat)
end of inspiration.
Glossary EN 153
Term Explanation
Time during inspiration when the gas flow to the patient is zero.
Plateau time The plateau time can be set in volume-controlled ventilation modes
and is 0% - 50% of the inspiration time Ti.
Positive pressure (in relation to the atmosphere) in the lungs which
Positive end-expiratory pressure
is created artificially during ventilation and is present at the end of
(PEEP)
exhalation.
The pressure limitation is set indirectly via pMax. If the ventilation
pressure reaches the set value pMax, it is limited to this set pressure
Pressure limitation (PLV)
limit. This means the desired volume cannot be applied. Pressure
limitation is a limit which protects the patient.
p p y gg
Pressure
ΔpASB
PEEP
Time
Flow
5% flow max
5%
0%
Time
154 EN Glossary
Term Explanation
Number of applied ventilation cycles per minute (total of
Respiratory rate (Freq.)
mandatory and spontaneous breaths)
Respiratory time ratio (I:E) The ratio of inhalation time Ti to exhalation time Te
Tidal volume (Vt) Set volume to be applied per mechanical breath.
A trigger (triggered by the patient) is a switch element enabling the
Trigger patient and the ventilator to interact. A pressure/flow signal
triggers inspiration (device: flow trigger).
Threshold which must be reached for the ventilator to recognize
the patient's effort to inhale. The trigger threshold can be set in the
Trigger threshold unit:
– Inspiratory: 1 l/min - 15 l/min and out.
– Expiratory: 5% - 50% of maximum flow
Time slot in which the patient can trigger a mechanical breath by
his/her efforts to inhale (triggers). The length of the trigger time
slot depends on the ventilation mode and its settings. Examples:
Trigger time slot
With SIMV + ASB this is 20% of the expiration time before the
mandatory mechanical breath; with S-IPPV it is % of the expiration
time.
Volume-controlled ventilation determines the volume which is
administered to the patient (tidal volume Vt as the control variable).
Volume-controlled ventilation
Airway pressure results from the compliance of the lungs and the
inhaled volume. Example: IPPV ventilation mode.
Glossary EN 155
16. Warranty
Starting from the date of purchase, WEINMANN Emergency gives the customer a lim-
ited manufacturer’s warranty on a new original WEINMANN Emergency product and
on replacement parts installed by WEINMANN Emergency in accordance with appli-
cable warranty terms and conditions for the particular product and the warranty pe-
riods listed below. The warranty terms and conditions are available on the Internet at
www.weinmann-emergency.com. On request, we will send you the warranty terms
and conditions by mail. If you wish to make a warranty claim, consult your authorized
dealer.
Product Warranty
periods
WEINMANN Emergency devices including accessories (exception: 2 years
masks), for oxygen therapy and emergency medicine
Masks, incl. accessories, batteries (unless otherwise stated in the 6 months
technical documentation), sensors, hose systems
Disposable products None
156 EN Warranty
Manufacturer Center for Production, Logistics, Service
WEINMANN Emergency WEINMANN Emergency
Medical Technology GmbH + Co. KG Medical Technology GmbH + Co. KG
Frohbösestraße 12 Siebenstücken 14
22525 Hamburg 24558 Henstedt-Ulzburg
GERMANY GERMANY
T: +49 40 88 18 96-120
E: customerservice@weinmann-emt.de
WM 66001l 07/2017 EN