0% found this document useful (0 votes)
60 views160 pages

Weinmann MEDUMAT Transport Instructions For Use Manual

The MEDUMAT Transport Ventilator Instructions for Use details the device's operation, safety information, and maintenance procedures. It includes sections on installation, ventilation modes, controls, and troubleshooting, as well as technical specifications and warranty information. The document serves as a comprehensive guide for users to effectively operate and maintain the ventilator, ensuring safe and efficient patient care.

Uploaded by

tom
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
60 views160 pages

Weinmann MEDUMAT Transport Instructions For Use Manual

The MEDUMAT Transport Ventilator Instructions for Use details the device's operation, safety information, and maintenance procedures. It includes sections on installation, ventilation modes, controls, and troubleshooting, as well as technical specifications and warranty information. The document serves as a comprehensive guide for users to effectively operate and maintain the ventilator, ensuring safe and efficient patient care.

Uploaded by

tom
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 160

MEDUMAT Transport

Ventilator

Instructions for Use for Devices from Software Version 6.7


Contents
1. Overview . . . . . . . . . . . . . . . . . . . . . 4 6.3 Additional functions and safety
functions . . . . . . . . . . . . . . . . . . . 66
2. Description . . . . . . . . . . . . . . . . . . . 21
6.4 Pressure-controlled ventilation
2.1 Intended use. . . . . . . . . . . . . . . . . 21 modes . . . . . . . . . . . . . . . . . . . . . 68
2.2 Applications . . . . . . . . . . . . . . . . . 21 6.5 Volume-controlled ventilation
2.3 Operator and user qualification. . . 22 modes . . . . . . . . . . . . . . . . . . . . . 78
2.4 Function . . . . . . . . . . . . . . . . . . . . 22 7. Main menu . . . . . . . . . . . . . . . . . . . 84
3. Safety information . . . . . . . . . . . . . 24 7.1 Activating automatic alarm
limits. . . . . . . . . . . . . . . . . . . . . . . 84
4. Installation . . . . . . . . . . . . . . . . . . . 30
7.2 Alarm Limits . . . . . . . . . . . . . . . . . 85
4.1 Connecting oxygen cylinder . . . . . 30 7.3 Curves . . . . . . . . . . . . . . . . . . . . . 86
4.2 Connecting the hose system . . . . . 32 7.4 Advanced ventilation
4.3 Connecting the inhalation parameters . . . . . . . . . . . . . . . . . . 87
adapter. . . . . . . . . . . . . . . . . . . . . 34 7.5 Apnea ventilation parameters . . . . 89
4.4 Accessories from other 7.6 Audio/Video . . . . . . . . . . . . . . . . . 90
manufacturers . . . . . . . . . . . . . . . 35
7.7 Options. . . . . . . . . . . . . . . . . . . . . 91
4.5 Permanent installation of the unit. . 37
7.8 Night colors . . . . . . . . . . . . . . . . . 94
5. Operation . . . . . . . . . . . . . . . . . . . . 38 7.9 NVG (Night Vision Goggles) . . . . . 94
5.1 Controls . . . . . . . . . . . . . . . . . . . . 38 8. Operator menu . . . . . . . . . . . . . . . 96
5.2 Switching the unit on/Self-test . . . 41
8.1 Password Page . . . . . . . . . . . . . . . 99
5.3 Navigating in menus . . . . . . . . . . . 44
8.2 Ventilation Modes. . . . . . . . . . . . . 99
5.4 Selecting emergency mode . . . . . . 46
8.3 File Export/Import . . . . . . . . . . . . 101
5.5 Selecting a ventilation mode . . . . . 47
8.4 Software Update. . . . . . . . . . . . . 103
5.6 Changing the ventilation mode. . . 48
8.5 Options. . . . . . . . . . . . . . . . . . . . 105
5.7 Selecting additional ventilation
functions . . . . . . . . . . . . . . . . . . . 49 8.6 User Settings. . . . . . . . . . . . . . . . 105
5.8 Performing ventilation. . . . . . . . . . 50 9. Hygienic preparation . . . . . . . . . . 109
5.9 Monitoring ventilation . . . . . . . . . 51 9.1 MEDUMAT Transport . . . . . . . . . 109
5.10 Performing inhalation . . . . . . . . . . 53 9.2 Hose systems . . . . . . . . . . . . . . . 109
5.11 Alarm signals . . . . . . . . . . . . . . . . 54 9.3 Parts and accessories. . . . . . . . . . 110
5.12 Ventilation with breathing 9.4 BiCheck flow sensor . . . . . . . . . . 110
system filters (not supplied with 9.5 Fittings . . . . . . . . . . . . . . . . . . . . 111
the unit) . . . . . . . . . . . . . . . . . . . . 56
9.6 Hygiene input filter (optional) . . . 111
5.13 Ending ventilation . . . . . . . . . . . . . 56
9.7 Cleaning, disinfection and
5.14 Calculating the Oxygen level/ sterilization . . . . . . . . . . . . . . . . . 111
Operating time . . . . . . . . . . . . . . . 57
5.15 Alternative ventilation . . . . . . . . . . 58 10. Function check . . . . . . . . . . . . . . . 115
5.16 Changing battery during use . . . . 58 10.1 Intervals . . . . . . . . . . . . . . . . . . . 116
5.17 Battery management . . . . . . . . . . 59 10.2 Checking the system for leaks. . . 117
6. Ventilation modes . . . . . . . . . . . . . 63 10.3 Checking the patient valve
(reusable hose system only) . . . . . 118
6.1 Classification of the ventilation 10.4 Performing a function check . . . . 119
modes . . . . . . . . . . . . . . . . . . . . . 63
6.2 Important ventilation parameters . . 65 11. Troubleshooting . . . . . . . . . . . . . 123

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

9 External power supply unit

8 DC connection

7 Rechargeable
battery

1 Alarm LED 6 Ventilation connection terminal


Glows to indicate alarms. The tube system is connected here.
2 USB interface 7 Rechargeable battery
Means of data transfer for servicing and Provides mobile power supply to the unit.
maintenance purposes. 8 DC connection
3 O2/AIR inlet For DC power supply via an external power supply
Connection point, e.g., for an oxygen cylinder or unit or via the electrical circuit of an ambulance or
sterile compressed air. rescue vehicle.
4 O2/AIR inlet/outlet 9 External power supply unit
This connection point enables oxygen to be ex- Provides power supply to the unit via a
tracted, e.g., using an inhalation device, or an ox- 100V - 240V grid.
ygen or sterile compressed air source to be
connected.
5 Filter compartment cover, air inlet
Covers the filter and ensures it is securely
positioned.

4 EN Overview
Ventilation connection terminal

1 CO2 measuring hose connection

2 PEEP control hose connection

3 Pressure-measurement hose
connection

5 BiCheck flow sensor connection line connection 4 Ventilation hose/inhalation adapter


connection

1 CO2 measuring hose connection 4 Ventilation hose/inhalation adapter


The CO2 measuring hose of the patient hose sys- connection
tem is attached to this connection via the connec- The ventilation hose of the patient hose system or
tion plug. the inhalation adapter for an inhalation mask is
connected at this connection point.
2 PEEP control hose connection
The PEEP control hose of the patient hose system 5 BiCheck flow sensor connection line
is attached to this connection via the connection connection
plug. The BiCheck flow sensor connection line of the
patient hose system is attached to this connec-
3 Pressure-measurement hose connection tion.
The pressure-measurement hose of the patient
hose system is attached to this connection via the
connection plug.

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

1, 3, 5 Context-dependent function button 8 On/Standby/Off button


These buttons are used to set various ventilation A short press switches the unit on and off. A long
parameters, depending on the ventilation mode press switches it off completely.
selected. 9 Navigation knob
2 Alarm mute button with LED For navigating in menus and confirming your set-
You can silence these acoustic alarms temporarily tings on the unit. During ventilation, this knob is
(for 2 minutes) by pressing this button briefly to set the I:E ratio.
(< 1 s). If alarms are muted, the LED lights up. 10 Context-dependent control knobs
Visual alarms are still displayed. The alarm menu
For setting various parameters, depending on
opens if this button is held depressed for longer
which ventilation mode is active. Settings made
(> 2 s).
here must be confirmed with the Navigation
4 Function button for main menu knob.
This button calls up the main menu. 11 Function buttons for emergency
6 Function button for 100% O2 ventilation
This button calls up the 100% O2 function to ven- These buttons start emergency ventilation. By
tilate the patient briefly (for 2 minutes) with pressing the buttons, preset parameters for in-
100% O2 (FiO2 = 1.0). fants, children or adults are activated.
7 Function button for inspiratory O2
concentration
This button calls up the O2 concentration menu.
The required inspiratory O2 concentration in the
respiratory gas can be set in this menu.

6 EN Overview
Display of MEDUMAT Transport 1 Battery/Line operation indicators

9 Info field 10 Mode indicator


8 Numeric measurement display

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

1 Battery/Line operation indicators 6 Numeric measurement display


Indicates whether the unit is being operated with The current measurements are shown here
the external power supply unit (upper LED) or numerically along with the corresponding
with the internal battery (lower LED). alarm limits.
2 Function indicator for context- 7 Battery charge status
dependent function buttons The battery charge status is indicated here.
The currently available function of the context-
8 Numeric measurement display
dependent function buttons is indicated here.
Displays the measured inspiratory O2 concentra-
3 Ventilation progress display tion (FiO2).
The ventilation procedure is shown here as a
9 Info field
curve or pressure gauge, depending on the
Information (error messages, visual alarms) about
selected display mode.
the state of the patient and the ventilator is dis-
4 Function indicator for context- played here. The time of day is also displayed in
dependent control knobs this field.
The currently available function of the context-
dependent control knobs is indicated here.
10 Mode indicator
The ventilation mode set by the user is indicated
5 Function indicator for context- here.
dependent function buttons
The three directly selectable emergency ventila-
tion modes (Infant, child, adult) are indicated
here.

Overview EN 7
Hose system (reusable and disposable versions available)

2 Water filter for CO2


measurement
3 Connector
13 Tube
protection
sleeve
1 Ventilation hose 4 PEEP control tube
12 Velcro strap 5 BiCheck flow sensor
with clip connection line

11 Pressure- 6 BiCheck flow sensor


measurement 7 Elbow
tube

10 CO2 measuring hose


8 Blanking plug
9 Patient valve

1 Ventilation hose connected to the BiCheck flow sensor itself,


The respiratory gas flows through the ventilation depending on the position of the patient.
hose to the patient valve. 8 Blanking plug
2 Water filter for CO2 measurement The blanking plug (Luer lock) is used to seal off
The water filter protects the measuring chamber the CO2 outlet if your MEDUMAT Transport is not
of the MEDUMAT Transport against moisture and equipped with CO2 measurement or this is not
contamination from the patient's respiratory gas. activated.
3 Connector 9 Patient valve
The measurement-tube system is connected to Switchover between inspiration and expiration
MEDUMAT Transport by means of this connector. happens here.
4 PEEP control tube 10 CO2 measuring hose
With this tube, MEDUMAT Transport controls the Test gas is removed via this tube if your unit is
patient valve and the PEEP. equipped with the optional CO2 measurement
facility.
5 BiCheck flow sensor connection line
This electric lead transfers the measuring signals 11 Pressure- measurement tube
from the BiCheck flow sensor to the MEDUMAT For patient-side measurement of ventilation
Transport. pressure.
6 BiCheck flow sensor 12 Velcro strap with clip
This sensor supplies monitoring data on flow, Used for fixing the patient hose system to the
patient's clothing.
MVe, Vte and f.
13 Tube protection sleeve
7 Elbow Protects tubes and leads against soiling and
The mask/tube is connected here. The elbow is damage.
removable, i.e., the mask/tube can also be

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

3 Hygiene input filter

1 Filter grommet 3 Hygiene input filter


Holds the suction filter in position. Protects the device from viral and bacterial
contamination.
2 Filter mount
For installing a hygiene input filter in the device.

Overview EN 9
Inhalation adapter
1 Cover

2 Inhalation mask

3 Inhalation adapter

1 Cover 3 Inhalation adapter


Blocks the top two measuring ports on the device For connecting an inhalation mask to the device.
during inhalation.
2 Inhalation mask
The patient inhales oxygen through the inhala-
tion mask.

10 EN Overview
MEDUMAT Transport Main menu

Activate automatic alarm limits


Automatic alarm limits
MVe n
MVe p
f n
Apnea
Alarm limits etCO2 n
etCO2 p

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

Symbols used on the display


Symbol Meaning

Emergency mode – Infant (up to approx. 1 year)

Emergency mode – Child (approx 1-12 years)

Emergency mode – Adult (approx 13 years and over)

Battery status indicator

12 EN Overview
Symbol Meaning

Tick box: option activated

Radio button: function selected




Navigate upwards

Navigate downwards

Increase value

Decrease value

Confirm your selection

Navigation knob active

Bluetooth connection:
– Symbol is gray when connection has been activated
– Symbol is blue during communication

Acoustic alarm output activated

Acoustic alarm output deactivated

Alarm volume set to < 50%

Overview EN 13
Symbol Meaning

Acoustic alarm output permanently muted (NVG mode only)

Time

Trigger time slot

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

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
BiLevel +
PEEP pInsp pMax Freq. Selection/ Δ pASB Trigger Mode
ASB Confirmation
I:E and
Freq. Trigger
aPCV PEEP pInsp pMax Selection/ Trigger Mode
time slot
Confirmation
I:E and
PCV PEEP pInsp pMax Freq. Selection/ - - Mode
Confirmation
Only Selection/
CPAP + ASB PEEP - pMax - Δ pASB Trigger Mode
Confirmation
I:E and
PRVC + ASB PEEP Vt pMax Freq. Selection/ Δ pASB Trigger Mode
Confirmation
I:E and
IPPV PEEP Vt pMax Freq. Selection/ - - Mode
Confirmation
I:E and
S-IPPV PEEP Vt pMax Freq. Selection/ - Trigger Mode
Confirmation

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

10 Rechargeable battery type plate

Hygiene input filter (optional)

11 Hygiene input filter

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 IPX4 Protection against ingress of water


1
CE mark (confirms that the device complies with the applicable European
Directives).

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

Rechargeable battery type plate


10
Do not dispose of the unit in the household waste.

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

Consult instructions for use

Do not reuse

Labeling on the packaging


Symbol Meaning
MEDUMAT Transport:
SN Serial number of the unit

Permissible storage temperature: -30°C to +70°C


3

RH % 0-95 Permissible humidity for storage: up to 95% relative humidity

Safety information in these instructions for use


The safety instructions in these instructions for use are marked as follows:

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

2.1 Intended use


The MEDUMAT Transport is an automatic oxygen ventilator with additional preoxygen-
ation and monitoring functions (pressure, flow and CO2).
MEDUMAT Transport is used for the controlled and assisted, as well as invasive and non-inva-
sive, ventilation of adults, children, and infants. In the case of volume-controlled ventilation,
tidal volumes of 50 ml or more are possible. Smaller tidal volumes are also possible in the
case of pressure-controlled ventilation.
MEDUMAT Transport must only be operated when installed permanently or on approved por-
table systems.

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

Hygiene input filter (optional)


For ventilation in a contaminated atmosphere, MEDUMAT Transport can be used with a
hygiene input filter. This protects the device from viral and bacterial contamination.

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.

Patient Hose System


Warning!
• Risk of injury. Only use the Patient Hose System if you are a qualified medical
professional and have received training in respiration techniques. Improper use
may lead to serious physical injury.
• The Patient Hose System must be subjected to a functional check and visual
inspection by the user before use. For this, refer to the instructions for use for
the Patient Hose System.
• When connecting the patient valve, check that the direction of flow of the
respiratory gas is correct. Make sure that the expiration opening of the patient
valve is not covered or prevented from functioning, e.g., by the patient's
position.
• Only use the Patient Hose System for the purpose described. For this, refer to the
instructions for use for the Patient Hose System.
• The Patient Hose System is not suitable for hyperbaric use (pressure chamber).
• Also refer to the instructions for use for the Patient Hose System.

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.

4.1 Connecting oxygen cylinder


Warning!
• Risk of explosion! Wash your hands thoroughly before doing any work
on the oxygen supply. Hydrocarbon compounds (e.g. oil, grease,
cleaning alcohol, hand cream or adhesive plasters) can cause explosive
reactions if they come into contact with highly compressed oxygen.
• Never use wrenches or other tools to tighten or unscrew the union nuts.

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.

Removing the empty cylinder


1. Close the valve on the oxygen cylinder.
Switch on MEDUMAT Transport at the On/Standby/Off
switch. This allows the remaining oxygen to escape and
the unit is pressure-free. Only when the contents gauge
on the pressure reducer indicates 0 bar, can the
screwed union be undone by hand.
2. Switch MEDUMAT Transport off again.
3. Undo the screwed union at the cylinder by hand.

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.

4. Screw the other end of the pressure hose to the


compressed gas connection of the MEDUMAT
Transport (if not already connected).

Connecting a second oxygen source


Caution!
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.
If desired or if foreseen in your establishment, you can connect a second oxygen source,
e.g., an oxygen cylinder or a CGC to the O2/AIR inlet/outlet (quick connector to the front
of the unit).

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.

A reusable hose system is supplied with the MEDUMAT Transport. Alternatively, a


disposable hose system and a disposable hose system with reduced dead space are also
available. Information on the disposable hose system with reduced dead space can be
found in the instructions for use for the patient hose system WM 66696. To connect
reusable and disposable hose systems, proceed as follows:
1. Press the ventilation hose onto the corresponding
connection on the unit.
2. Attach the connector of the BiCheck flow sensor
connection line to the corresponding connection on the
unit.
3. Press the connector (contains PEEP control line, CO2
measuring hose, pressure-measurement tube) onto the
corresponding connection on the unit. Make sure that
the connected tubes are not kinked.
Connector
Caution!
Only grip the ventilation hose by its ends. Otherwise the
hose may be damaged.
4. Connect the patient valve with BiCheck flow sensor to
Elbow the hose following intubation. If performing mask
ventilation, attach the ventilation mask to the patient
valve with the BiCheck flow sensor (identical to tube
connection).

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

Hose protection sleeve


The tube protection sleeve is pulled over the ventilation
hose with connected BiCheck flow sensor. It prevents the
hose system from tangling on other items of equipment
and being damaged.

Water filter for CO2 measuring hose

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.

Accessories Assembly Special features


HME filter If a filter is used, install it
between the patient connection
Bacterial filter Follow the manufacturer's
of the BiCheck flow sensor (with
instructions.
elbow if desired) and the tube or
Combined HME bacterial filter
mask.
Ventilation mask
Laryngeal mask
Laryngeal tube Requires standard connection as
Onto the BiCheck flow sensor
Gooseneck per ISO 5356-1

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.

1. Attach the mask/tube (with elbow if desired) to the nebulizer.


2. Connect the open end of the nebulizer to the HME filter, bacteria filter or the combined
HME bacterial filter.
3. Attach the HME filter, bacteria filter, or combined HME bacterial filter to the BiCheck
flow sensor of the patient hose system.

Supplying oxygen to external units


You can use the O2/AIR inlet/outlet to connect units, modules or inhalation devices to the
MEDUMAT Transport (quick connector to the front of the units).
When doing so, bear in mind that the outlet gas flow reduces the efficiency of the gas
supply (see "14.6 Possible O2 concentration with counterpressure" on page 149).

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

Function buttons with fixed assignment


The fixed-assignment function buttons enable you to carry
out the following functions directly:
Function
• Mute acoustic alarms / open alarm menu
buttons with
fixed • Call up the main menu
assignment • Activate the "100% O2" function
• Call up the "O2 concentration" menu

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)

1 – Button 2: Setting trigger thresholds in


BiLevel + ASB, aPCV, CPAP + ASB, PRVC + ASB,
2 S-IPPV and SIMV + ASB modes
3 (see "Trigger thresholds" on page 88)
– Button 3: Setting ASB (Assisted Spontaneous
Breathing) pressure support in BiLevel + ASB, CPAP
+ ASB, PRVC + ASB, SIMV + ASB modes or trigger
time slot in aPVC mode
• Navigating in a menu:
Context-
dependent – Button 1: Up
buttons – Button 2: Down
1 – Button 3: Confirm selection
2 Alternatively, these settings can also be made with the
3 navigation knob (dual navigation).

Context- • Setting a parameter:


dependent – Button 1: Increase value
buttons – Button 2: Decrease value
4
– Button 3: Confirm selection
5
Alternatively, these settings can also be made with the
6 navigation knob (dual navigation).

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

Context-dependent control knobs


Depending on the ventilation mode selected, you can set
the following parameters using the control knobs (see
"Function of the controls during ventilation" on page 15):
• Control knob 1: PEEP
1 2 3 4 5 • Control knob 2: Vt, pInsp; in some ventilation
modes, this knob has no function
• Control knob 3: pMax (alarm limit)
• Control knob 4: Respiratory rate (no function in
some modes)
• Navigation knob 5: I:E (no function in some modes)
or flow during inhalation and pre-oxygenation
If you change the ventilation parameters with the control knobs, the corresponding
parameters and the symbol above the navigation button will flash for 5 seconds.
If you do not confirm the changed parameters with the navigation button or the context-
dependent button within 5 seconds, they will not be applied.

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

If certain values fall above or below the ventilation


parameters, the corresponding ventilation parameter
flashes red (see "6.2 Important ventilation parameters" on
page 65).

5.2 Switching the unit on/Self-test


1. Open the valve on the oxygen cylinder slowly. The
contents gauge now indicates the cylinder pressure.

2. Calculate the remaining operating time if necessary


(see "5.14 Calculating the Oxygen level/Operating
time" on page 57). You should change the cylinder in
good time, e.g., when the pressure falls below 50 bar,
to ensure a sufficiently long operating time.
3. To switch on MEDUMAT Transport, press the On/
Standby/Off button. An automatic self-test runs which
includes the following sequence of steps:
• Alarm LED flashes briefly
• Alarm buzzer emits a series of five audible sounds
On/Standby/Off button • Loudspeaker emits a series of two audible sounds
• Ventilator checks its own functions internally

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).

Then use the context-dependent buttons to select


"Start ventilation" if you want to start ventilation,
"Alarm Limits" if you want to determine the alarm
limits in the "Alarm Limits" menu (see "7.2 Alarm
Limits" on page 85) or "back" if you want to
change any settings.

Notice:
As soon as you select a new patient, you can use
the menu button to change over to the main
menu.

– Select "Function check" menu: The unit will begin


the automatic function check (see "10.4
Performing a function check" on page 119).

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.

5. When the self-test has finished and the ventilation


mode has been set, connect the patient.
6. Adjust the ventilation values if necessary during
ventilation.

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 .

Navigating with the navigation knob


1. Use the function buttons to select a menu (here: Alarm
Limits).
2. Select a menu item by turning the navigation knob
clockwise (the selection bar moves downwards) or
anticlockwise (the selection bar moves upwards).
3. Confirm your selection by pressing the navigation
knob.
4. To exit a menu, use the navigation knob to select the
menu item "back" and confirm your selection by
pressing the navigation knob.
Proceed in the same way when making numeric
settings (here: Alarm Limits)
Navigation knob – Turn the navigation knob clockwise to raise the
value, and anticlockwise to lower it.
– Press the navigation knob 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 again.

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.

Other symbols used in the menus:


Radio button:
If a menu contains functions which have a so-called
"Radio button", only one function at a time can be
selected in these menus.
Tick box:
If a menu contains functions which have a so-called Tick
Box, these functions can be activated in addition to other
functions.

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

Parameter Adult Child Infant


PEEP 0 mbar 0 mbar 0 mbar

pMax 30 mbar 25 mbar 20 mbar

I:E 1:1.7 1:1.7 1:1.7

Frequency 10/min 20/min 30/min

Vt 500 ml 200 ml 60 ml

5.5 Selecting a ventilation mode


To select a different ventilation mode, proceed as follows:
1. Then use the "Mode" function button to select the
"Mode" menu.
2. Then use the navigation knob or the context-
dependent function buttons on the right of the display
to select 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.
Alternatively, you can select the "Inhalation" or
"Pre-oxygenation" function.

4. Confirm your selection by pressing the navigation knob


or the corresponding context-dependent function
button.

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.

5.7 Selecting additional ventilation functions


The ventilation functions "O2 concentration" and "100% O2" are available for all the
ventilation modes. You can call up and set these functions at any time using the fixed-
assignment function buttons on the right of the display.

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.

Setting the O2 concentration


To save oxygen, ventilation is normally carried out with an oxygen/air mixture. The
administered oxygen concentration can be selected between 40% and 100%. The
currently measured value is shown in the info field on the display.
If you switch from oxygen/air mixture (40% O2) to pure oxygen (100% O2), the respiratory
minute volume changes within the preset tolerances (see "14. Technical Data" on
page 142). To set the O2 concentration, proceed as follows.
1. Use the FiO2 button to call up the "O2 concentration"
menu.

2. Select the required inspiratory O2 concentration using


the navigation knob or the function buttons.

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.

Activate the 100% O2 function


To raise the oxygen concentration to % briefly (two minutes maximum), you can use the
"100% O2" function.
1. Press the "100% O2" button to activate the function.
The message "100% O2" appears in the display.
2. Press the "100% O2" button again to end the function.
Ventilation is continued with the originally set O2
concentration. The function is ended automatically
after two minutes.

5.8 Performing ventilation


Endotracheal tube
As a rule, the patient is intubated before the tube is connected to the patient valve.
1. Set the desired ventilation mode and the associated ventilation parameters.
2. Attach the patient valve to the endotracheal tube connector.
3. During ventilation, check the respiratory parameters on the display. This will enable you
to determine whether ventilation is adequate.

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.

5.9 Monitoring ventilation


General
During ventilation, you must monitor the patient continuously. You can follow the progress
of ventilation on the display. You can select various display formats.
High airway resistances, e.g., due to obstructions of the airway or during external cardiac
massage, may change the respiratory minute volume, depending on the ventilation mode.
If lung compliance decreases, the unit responds as follows:
• With volume-controlled ventilation, the ventilation pressure rises until
the set pressure limit is reached, while the ventilation volume remains
constant. Then the applied volume drops.
• With pressure-contolled ventilation, the applied volume drops while the
pressure remains constant.
Example of ventilation progress before and
after decrease in compliance during volume-controlled
ventilation

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

Ventilation progress curves


For the purpose of monitoring ventilation, the standard
unit displays the following parameters as curves:
– Pressure, flow
– Pressure, flow, measurements
– Pressure gauge (only in volume-controlled modes)

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)

5.10 Performing inhalation


Caution!
The device must not be operated in combination with a nebulizer during oxygen in-
halation via an inhalation hose system. Otherwise the device does not generate suf-
ficient pressure for the ventilation and thus inhibits the therapy.
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 the
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.

3. Switch on the device.


4. Select "New patient".

Operation EN 53
5. Select "Adult", "Child", "Infant", or "Height" and
confirm your selection.
The "Mode" submenu opens.

6. Select the "Inhalation" mode and confirm your


selection.

7. Then select "Start ventilation" and confirm your


selection.
The device starts the inhalation.

5.11 Alarm signals


Alarm priority
MEDUMAT Transport classifies alarms into the following priority levels:
• high priority
• medium priority
• low priority
If two or more alarms occur simultaneously, alarms with the currently highest priority are
displayed cyclically.
You can set limit values for alarms relating to respiratory physiology (see "7.2 Alarm Limits"
on page 85).

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).

Muting the alarm


You can use the alarm mute button at any time to mute
the alarm signal for 120 s. During this time, the yellow LED
of the alarm mute button flashes. Pressing the button
again reactivates the acoustic alarm. The visual alarm
continues to remain active.
Visual and acoustic alarms are reset automatically as soon
as the cause of the alarm has been removed.

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.

5.12 Ventilation with breathing system filters


(not supplied with the unit)
For hygiene purposes, and to condition the air for breathing, you can equip the patient valve
with commercially available filters (HME, bacterial or combined HME/bacterial filters) with
standard 15/22 mm connections. This increases both inspiratory and expiratory resistance.
Therefore you should monitor the ventilation pressure and volume with special care.
Allowance must be made for the larger dead space, especially with children.
Always follow the filter manufacturer's instructions for use.

5.13 Ending ventilation


Caution!
Never empty the oxygen cylinder completely. Always ensure that there is a certain
residual pressure in the cylinder when you return it for filling, since this prevents
moist ambient air from entering and causing corrosion.
1. Check the remaining oxygen content on the contents gauge of the pressure reducer. If
the contents gauge indicates 50 bar or less, the cylinder must be refilled or a reserve
cylinder obtained to ensure that the unit remains ready for use.
2. Close the valve on the oxygen cylinder.
3. Hold down the On/Standby/Off button for 2 seconds to
switch the unit to standby.

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.

Oxygen level in the cylinder


Oxygen volume = cylinder volume x cylinder pressure
Cylinder volume x Cylinder pressure = Oxygen content
Example 1 10 l x 200 bar = 2000 l

Example 2 10 l x 100 bar = 1000 l

Ventilation operating time


Vt (tidal volume) x f (respiratory rate) = MV (minute volume)

Oxygen supply (l) 100


Ventilation operating time (min) = ------------------------------------------------------------------- × -------------------------------------------------
Vt x f + O 2 consumption O 2 concentration

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).

5.16 Changing battery during use


You should change a battery with low capacity in good time. Always keep a fully charged
replacement battery ready for use.
Proceed as follows:
1. Have the fully charged battery ready to hand.
2. Press and hold the On/Standby/Off button until the alarm LED goes out (approx.
10 seconds). The device is now switched off.

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.

Battery charge level indicator (MEDUMAT Transport)


At the top left of the display you will find the symbol
indicating the battery charge level. This is displayed in five
levels. The picture opposite shows examples of a full, half-
full and empty battery.
empty half full full

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

Charging status indicator


The charging status is only indicated when the external power supply is connected, since
only then is it possible to actually charge the battery.
When MEDUMAT Transport is off, the charging status is shown by the charging indicator.
When MEDUMAT Transport is on, the charging status is shown by both the charging
indicator and the capacity indicator.
Key to charging status and capacity indicator:

Unit off Unit on


Charging
Charging indicator Capacity indicator
indicator
Battery is being
flashes green flashes green
charged (current charge level)

Battery full green green


(full)

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.

Interrupting battery charging


Battery charging is continuously monitored by MEDUMAT Transport.
Faults which cause charging to be interrupted are:
• Battery temperature rises above 45°C, e.g., due to high ambient
temperature, or falls below +5°C
• Charging current is too high (>3 A) e.g., due to a short-circuit
If one of these problems occurs, charging is automatically interrupted and the charging
indicator glows red.
Charging is also interrupted if there is no external power supply, e.g., because the unit,
which is mounted on a portable system, is removed from the wall mounting. The charging
indicator does not light up in this case because this is not a fault, but a normal operating
situation. As soon as the external power is restored, e.g., when the portable system is put
back into the wall mounting, charging continues immediately.

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)

6.1 Classification of the ventilation modes


Breathing effort
100%

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)

This additional function can also be activated in all


pressure-controlled modes and in the CPAP + ASB
mode.The leakage alarm is deactivated. The unit uses
optimized trigger algorithms for non-invasive ventilation.
If non-invasive ventilation is activated, only the ventilation
modes BiLevel + ASB, aPCV, PCV, and CPAP + ASB
available for this are shown in the "Mode" menu.
If non-invasive ventilation is activated, the symbol for mask
ventilation appears in the "Mode" function indicator.

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:

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
Trigger
aPCV PEEP pInsp pMax Freq. Select/ Trigger Mode
time slot
Confirm

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)

Synchronized time slot


(adjustable)

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

1/Freq. (set) 1/Freq. (set)

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

CPAP without pressure support CPAP with pressure support ASB

ΔpASB

CPAP / PEEP

Time

1/Freq. (spontaneous) 1/Freq. (spontaneous)

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

volume-controlled pressure-controlled pressure-controlled


mechanical breath mechanical breath mechanical breath

1/Freq. (set) 1/Freq. (set)

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:

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
IPPV PEEP Vt 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).

78 EN Ventilation modes
Pressure

pMax automated ventilation automated ventilation

pPlat

PEEP
Time

1/Freq. (set) 1/Freq. (set)

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:

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
S-IPPV PEEP Vt pMax Freq. Select/ - Trigger Mode
Confirm

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)

Synchronized time slot

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)

Synchronized time slot

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.

To navigate in the menu, you can use either the navigation


knob or the context-dependent function buttons on the
right of the display (see "5.1 Controls" on page 38).

7.1 Activating automatic alarm limits


General
When the "Activate automatic alarm limits" function is
activated, the unit automatically determines limits for the
alarms relating to respiratory physiology. Alternatively, you
can activate the automatic alarm limits by keeping the
alarm mute button depressed (approx. 2 seconds).
Crucial for determining the limits are the respiratory values
measured at the moment when the function is activated
(Vte, MVe, f, if necessary etCO2).
In the "Alarm Limits" menu (see "7.2 Alarm Limits" on
page 85), you can set the amount of deviation (in %) from
the current respiratory value, which should trigger an
alarm.

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.

7.2 Alarm Limits


You can set limit values for alarms relating to respiratory
physiology. Once the limit values are reached, the unit
triggers an alarm.
You can set the following:
Alarm Setting range
10%, 15%, 20%, 25% or 30%
deviation from the respiratory
Automatic alarm values at the moment of
limits activation.
The automatic alarm limits are
set to ± 30% on delivery.
MVe ↑ 1 l - 160 l
MVe ↓ 0.1 l - 110 l
f↑ 1/min - 150/min
Apnea 4 s - 60 s
Only for units equipped with CO2 measurement:
20 mmHg - 75 mmHg
etCO2 ↑ 2.6 Vol% - 9.9 Vol%
2.6 kPa - 10 kPa
0 mmHg - 40 mmHg
etCO2 ↓ 0 Vol% - 5.3 Vol%
0 kPa - 5.4 kPa

If the unit triggers a set alarm, the alarm in this menu is


displayed in the color of its priority (see "5.11 Alarm
signals" on page 54).
The alarm limit for the CO2i↑ alarm is set at 5 mmHg.
You can also activate the alarm limits menu by keeping the
alarm mute button depressed (approx. 2 seconds).

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

If you select a display with measurements, the following


measurements will be displayed:

Measurement Explanation Unit


pPeak Peak pressure mbar
pPlat Plateau pressure mbar
Mean pressure of all
pMean mbar
measurements
Vleak Leakage % Vti

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)

If you select a plateau time (see "Plateau time" on


page 154) for the flow progress, for the duration of the
plateau time, no gas will be administered to the patient
and at the same time expiration will be prevented.

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

The "Trigger time slot" function (only available in the


aPCV ventilation mode) can be used to set in which phase
of the expiration the patient can trigger a mandatory
mechanical breath. The setting can be performed in 100%
of the expiration time before the next mechanical breath.
If you set the trigger time slot to 0% Te, the patient has no
possibility of triggering a mandatory mechanical breath
and the ventilation could be viewed as purely controlled

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.

Alternatively, you can also set the trigger thresholds on the


right in the display, using the trigger thresholds function
button. Use the control knob to navigate straight to the
"Trigger thresholds" menu item.

7.5 Apnea ventilation parameters


In this menu you can both specify the presettings for the
Apnea ventilation (see "Apnea ventilation" on page 66)
and activate Apnea ventilation. You can select the
following ventilation modes for Apnea ventilation:
• BiLevel + ASB
• SIMV + ASB
You can make the following settings:

Parameters Setting range


PEEP 0 mbar - 30 mbar
pInsp (BiLevel + ASB
3 mbar - 60 mbar
only)
Vt (SIMV + ASB only) 50 ml - 2000 ml
Freq 1/min - 60/min
I:E 1:4.0 - 4.0:1

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:

Parameters Setting range


Brightness/Day 10% - 100%
Brightness/Night 10% - 100%

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.

If you activate CO2 suction, the current end-expiratory


CO2 concentration is shown bottom left in the display.

If you deactivate CO2 suction, this is shown bottom left in


the display.
If the device is not equipped with CO2 measuring, the
measurement field remains empty.

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

Compressed gas supply


In this menu, you can select the type of pressurized gas
used. For this you must first activate the function in the
operator menu (see "8.6 User Settings" on page 105).
You can select the following types of gas:
Pressurized gas Description
Med.O2 Medical oxygen
Compressed air Compressed air
Concentrator O2 Concentrator oxygen

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)

7.8 Night colors


To ensure optimum readability of the display during night-
time use, you can activate the night colors. The readings
are displayed on a black background. This prevents glare.
You can set the brightness of the night colors in the Audio/
Video menu (see "7.6 Audio/Video" on page 90).

7.9 NVG (Night Vision Goggles)


Warning!
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 deacti-


vated 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.

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.

1. Switch on the device


2. Then press the two lower context-dependent
function keys simultaneously
(see image on left).
As soon as the progress bar turns blue, you are in the op-
erator menu. As soon as the loading process has finished,
the start screen of the operator menu appears.

If the progress bar fails to turn blue, switch the device off
completely and then back on again. Then repress the two
function buttons.

Navigating the operator menu


To navigate in the operator menu, you can use either the
navigation knob or the context-dependent function but-
tons on the right of the display (see "5.3 Navigating in
menus" on page 44).

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.

Additional functions are also available on some pages


of the operator menu. These are necessary for the indi-
vidual device setting steps and are described in greater
detail in the corresponding sections of this chapter.
7. To exit a selected page, turn the navigation knob until
the selection bar is on BACK.
8. Press the navigation knob.
You can now call up another page in the operator
menu.
9. To exit the operator menu, press and hold the On/
Standby/Off button until the alarm LED stops flashing.
The device is switched off.

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

DE, EL, EN, ES, FR, IT, JA,


NL, PL, PT, RO, RU, SV,
Language
TH, TR, DA, ZH, PT (BR),
CS, HU

IPPV
Emergency mode
BiLevel + ASB
Vt/kg body weight

Allow patient height entry


User Settings
Allow gas type selection

Hygiene input filter installed

Dust load on filter

Suction filter

Allow 0% audio volume

Allow alarm LED off

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").

8.2 Ventilation Modes


In this menu you can, firstly, set which ventilation modes
should be available on the user interface. Secondly, this
menu also allows you to specify the preset ventilation pa-
rameters and the corresponding alarm limits of the individ-
ual ventilation modes for the three patient groups Infant,
Child, and Adult:
1. Press the button or the navigation knob.
The selection bar is on BACK.
2. Turn the navigation knob until the selection bar is in the
required field.
3. By pressing the button or the navigation knob you
can activate or deactivate the required ventila-
tion modes in the center column.
or
4. By pressing the button or the navigation knob you
can call up the presets of the required ventilation mode
for editing, via the "edit presets" field in the right col-
umn.

Operator menu EN 99
Notice:
If a ventilation mode is already deactivated , you
cannot call up its presets.

If you have selected and confirmed the "edit presets" field,


you enter the "Edit ventilation settings" submenu for the
required ventilation mode. This submenu is divided into
the patient groups Infant, Child, and Adult.
Further information on the possible settings can be found
in the "Advanced ventilation parameters" sections (see
"7.4 Advanced ventilation parameters" on page 87) and
"Technical data" (see "14. Technical Data" on page 142).
The non-selectable functions in a particular ventilation
mode are not shown.
5. To switch between the "edit ventilation settings" and
"edit alarm limits" submenus, press the function key in
the top left (see image).

6. To reset the alarm limits to the factory settings, select


the "reset alarm limits" field in the column of the re-
spective patient group and confirm your selection.
Further information on the alarm limits can be found in
Section "7.2 Alarm Limits" (see "7.2 Alarm Limits" on
page 85).

7. To reset the ventilation settings to the factory settings,


select the "reset vent. settings" field in the column of
the respective patient group and confirm your selec-
tion.

100 EN Operator menu


8.3 File Export/Import
In this menu you can export data records from the device
to a USB stick or import them from a USB stick to the de-
vice.
The following data records are available to export:
• Service Files: Files are saved in the Service Files which
can be of use to the WEINMANN Emergency Technical
Service or WEINMANN Emergency authorized service
agents on servicing.
• Mission Logs: Mission Logs contains the session data of
the last 60 applications. The device records the trend
data for measurements every minute. All the events
(triggered alarms or settings changes) are saved imme-
diately. Depending on the frequency of the applica-
tions, the time required to export the data may vary.
• Screenshots: It is possible to create screenshots of the
currently active screen both in the operator menu and
during ventilation. To create a screenshot, proceed as
follows:
1. Select the required screen display.
2. Press the alarm mute button and menu button simulta-
neously.
The following message appears on the screen: "Taking
screenshot "#", please wait".
• Export and Import Presets: The "Export Presets" func-
tion can be used to export the device's presets to a USB
stick. The "Import Presets" function can be used to im-
port a device's presets saved on a USB stick to another
device. All parameters which can be set are adopted
when data are exported. This includes: passwords, ven-
tilation settings, alarm presets, language settings, and
all settings from the "User Settings" menu in the oper-
ator menu (see "8.6 User Settings" on page 105).

Operator menu EN 101


Export/import presets or screenshots
To export presets or screenshots from MEDUMAT Trans-
port, proceed as follows:
1. Select the "File Import/Export" page in the operator
menu.
2. Insert a USB stick in the USB port of 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:
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.

102 EN Operator menu


8.4 Software Update
In this menu you can load the latest software version to the
device.
To install the latest software version, proceed as follows:
1. Save the latest software version on a USB stick.

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.

2. Switch on the device.


3. Insert a USB stick in the USB port of the device.
4. Select the "Software Update" page in the operator
menu.

Notice:
It can take a moment for the MEDUMAT Transport
to detect the USB stick.

Leave the USB stick in the device's USB port


throughout the software update. Do not remove it
until the software update has completely finished.

Operator menu EN 103


5. Press the button or the navigation knob to start the
installation of the new software version on the device.
6. Follow the instructions on the display:

Notice:
It is not possible to install an earlier software
version than is already installed on the device.

If the device is not able to read the software update file,


this can have the following causes:
• The software update file or USB stick is damaged.
In either case, the following message appears on
the display. "Update FAILED, wrong checksum,
please verify file". In this case, use another USB
stick or copy the software update file onto the USB
stick again.
• The software update is interrupted and the
following message appears: "Update FAILED,
please try again" In this case, restart the update
procedure without switching off the device.
If the device has imported the software update correctly,
the old software is overwritten with the new software and
a progress bar appears on the display. At the end of the
update procedure, the following message appears:
"Update successful, please switch off the device."
7. To activate the new software version, first switch off
the device.
8. Remove the USB stick from the device.
9. Then switch on the device again.
10.Check the displayed software version in the "Device
data" menu (see "Device data" on page 92).
11.Perform a function check (see "10. Function check" on
page 115).

104 EN Operator menu


Recorded software updates
In the file update-xxxx.txt, the software updates which
have been performed are saved. This information helps
you with documentation within the scope of your quality
management system. You can open the file
update-xxxx.txt with a word processing program.

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

8.6 User Settings


This menu allows you to alter various default settings of
the device.

Operator menu EN 105


Language
In this menu item, you can set the language in which the
messages are displayed.
You can choose the following settings:
Parameter Options
Brazilian Portuguese Português brasil. (PT-BR)
Czech Český (CS-CS)
Chinese 汉语 (ZH-ZH)
Danish Dansk (DA-DK)
German Deutsch (DE-DE)
Greek Ελληνικά (EL-GR)
English English (EN-GB)
Spanish Español (ES-ES)
French Français (FR-FR)
Italian Italiano (IT-IT)
Language
Japanese 日本語 (JA-JA)
Hungarian Magyar (HU-HU)
Dutch Nederlands (NL-NL)
Polish Polski (PL-PL)
Portuguese Português (PT-PT)
Romanian Română (RO-RO)
Russian Русский (RU-RU)
Swedish Svenska (SV-SV)
Tayland ไทย (TH-TH)
Turkish Türkçe (TR-TR)

Notice:
Depending on the software version, additional lan-
guages may be available.

106 EN Operator menu


Emergency Mode
In this menu item you can specify the IPPV or BiLevel + ASB
mode as the emergency ventilation mode.

Vt/kg body weight


In this menu item you can set the tidal volume per kilo-
gram of body weight. This value is a variable used to con-
vert the body height to a tidal volume (see "14.8
Calculation of body weight on the basis of body height"
on page 152).
Here you can select a value between 4 ml/kg body weight
and 10 ml/kg body weight.

Allow patient height entry


This menu item enables you to activate or deactivate the
"Height" function. If the "Height" function is activated,
you can set the body height under the "New patient"
function prior to starting the ventilation (see 5.2, page 41
and 14.8, page 152).

Allow gas type selection


This menu item enables you to activate or deactivate the
"Compressed gas supply" function. You can select the
type of pressurized gas in the main menu (see 7.7,
page 91).

Hygiene input filter installed


This menu item enables you to activate or deactivate the
"Hygiene input filter" function in the "Options" menu.
This function is only available if the hygiene input filter is
installed. If you are using a hygiene input filter having pre-
viously used one, you must reset the counter for the hy-
giene input filter service life in the "Options" menu (see
"7.7 Options" on page 91).

Operator menu EN 107


Dust load on filter
This menu item enables you to set the hygiene input filter
wear according to the level of contamination in the ambi-
ent air. You can choose between the settings "normal",
"high", and "very high". Select "normal" for standard
conditions, and "high" or "very high" for very dusty or
contaminated ambient air. This menu item is only visible if
you have activated the hygiene input filter in the menu
item "Hygiene input filter installed".

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 0% audio volume


This menu item allows you to set the alarm volume to
<50% in the menu item "Audio/Video" in the main menu
(see "7.6 Audio/Video" on page 90). This menu item is
only visible if you have enabled the NVG option in the op-
erator menu (see "8.5 Options" on page 105).

Allow alarm LED off


This menu item allows you to activate/deactivate the alarm
LED in the menu item "Audio/Video" in the main menu
(see "7.6 Audio/Video" on page 90). This menu item is
only visible if you have enabled the NVG option in the op-
erator menu (see "8.5 Options" on page 105).

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).

108 EN Operator menu


9. Hygienic preparation
The MEDUMAT Transport and the accessories used must be hygienically prepared after
each use. Please refer to the instructions supplied with the disinfectant used. We recom-
mend using gigasept FF® (new) for immersion disinfection and terralin® protect for wipe
disinfection.
Always carry out a functional check after the hygienic preparation (see "10. Function
check" on page 115).

9.1 MEDUMAT Transport


Warning!
Never immerse the MEDUMAT Transport or the BiCheck flow sensor lead in
disinfectant or other liquids. Otherwise the unit may be damaged, causing a hazard
to users and patients.
Keep MEDUMAT Transport and the BiCheck flow sensor connecting lead clean by wiping
with disinfectant. If using a hygiene input filter, do not remove it for wipe disinfection;
leave it installed.
Please refer to the instructions supplied with the disinfectant used. We recommend using
terralin® protect for wipe disinfection.

9.2 Hose systems


Depending on the hose system used, the hose system may contain disposable articles. Do
not reuse.
For preparing the other components, follow the instructions for use supplied with the hose
systems.

Hygienic preparation EN 109


9.3 Parts and accessories
Masks and all silicone parts must be cleaned in a disinfectant solution:
1. All surfaces must be wetted, free of bubbles, inside and outside. Allow the disinfectant
to act for the full time specified by the manufacturer.
2. After disinfection, rinse the parts thoroughly with drinking water to avoid residues of
the disinfectant solution causing problems.
3. Always allow parts to dry in the air.
4. Carry out a visual inspection and replace any damaged parts immediately.
The reusable ventilation tube, reusable patient valve (see previous section), reusable
BiCheck flow sensor and ventilation masks with silicone cushion can also be autoclaved.

9.4 BiCheck flow sensor


Observe the following instructions for hygienic preparation to avoid damage to the
BiCheck flow sensor:

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.

110 EN Hygienic preparation


9.5 Fittings
Warning!
Risk of explosion! Never immerse the fittings in disinfectant or other liquids. Only
carry out wipe disinfection. Liquid must not be allowed to enter the pressure reducer.
Otherwise there is a risk of explosion.
If it is absolutely necessary to clean the fittings (e.g., pressure reducer, valve), use a clean
cloth. The cloth may be dry or moistened with clean water.

9.6 Hygiene input filter (optional)


Before changing the hygiene input filter, wipe-disinfect the outside of the unit with the hy-
giene input filter installed.
To guarantee filter efficiency, the hygiene input filter has a life of 24 hours of ventilation
(at FiO2 < 100% oxygen) or a maximum of 6 months.
The hygiene input filter is a single-use device. Do not reprocess it. Dispose of it correctly.

9.7 Cleaning, disinfection and sterilization


Warning!
Risk of explosion! If wipe disinfection is required, make sure that no liquid enters the
connections. Cleaning agents containing alcohol or grease become flammable when
combined with compressed oxygen and can cause explosions.
Carry out hygienic preparation of the MEDUMAT Transport and the accessories used, as
described in the following table.
Refer to the instructions supplied with the hose system and with the disinfectant used. We
recommend using gigasept FF® (new) for immersion disinfection and terralin® protect for
wipe disinfection. You are advised to use suitable gloves for disinfection work (e.g., house-
hold or disposable gloves).

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.

Hygienic preparation EN 111


Reusable components
Thermo- Sterili-
Parts Cleaning Disinfection
disinfector zation
Wipe down with a Not
MEDUMAT Transport Wipe disinfection Not permitted
moist cloth permitted
Wipe down with a Not
BiCheck flow sensor lead Wipe disinfection Not permitted
moist cloth permitted
Clean at 95°C, as
In hot water with a instructed in the
Immersion Steam ster-
BiCheck flow sensor(5) mild household disinfector
disinfection ilization(3)
detergent instructions. Dry
thoroughly
Reusable patient valve
In hot water with a Immerse in
Reusable ventilation Washing cycle up to Steam ster-
mild household gigasept FF® (new)
mask (1) 95°C (2) ilization(3)
detergent solution
Reusable ventilation hose
Reusable measuring hose
system
– PEEP control hose In hot water with a
Immersion Washing cycle up to Steam ster-
– Pressure-measurement mild household
disinfection(1) 95°C (2) ilization(3)
hose detergent
– Connector
measuring hose system
In hot water with a
Immersion Washing cycle up to Steam ster-
Blanking plug mild household
disinfection(1) 95°C (2) ilization(3)
detergent
In hot water with a
Immersion Washing cycle up to Steam ster-
Protective cap mild household
disinfection(1) 95°C (2) ilization(3)
detergent
– Wipe down with a
moist cloth: Using
water or mild
Reusable tube protection soap Immersion Washing cycle up to Not
sleeve – Wash at 30°C in disinfection(1) 95°C (2) permitted
the washing
machine (without
spinning)

112 EN Hygienic preparation


Thermo- Sterili-
Parts Cleaning Disinfection
disinfector zation
– Rinse with water
and mild soap 30°C washing cycle,
– Wash at 30°C in Immersion with the addition of Not
Velcro strap with clip
the washing disinfection(1) a suitable permitted
machine (without disinfectant
spinning)
With a dry or moist
Not
Oxygen fittings cloth: use clean Not permitted Not permitted
permitted
water
In hot water with a Immerse in
Washing cycle up to Steam ster-
Elbow mild household gigasept FF® (new)
(1) 95°C (2) ilization(4)
detergent solution
(1) After disinfecting, rinse all parts thoroughly with drinking
water and then leave them to dry. Follow the instructions on
hygienic preparation of the BiCheck flow sensor (see "9.4
BiCheck flow sensor" on page 110).
(2) Thermal disinfection in a washer
(3) Steam sterilization at 134°C with devices which comply with
EN 285; holding time up to 18 minutes.
(4) Material is autoclavable up to 121°C.
(5) Follow the instructions on hygienic preparation of the
BiCheck flow sensor (see "9.4 BiCheck flow sensor" on
page 110).

Hygienic preparation EN 113


Disposable components
Thermo- Steriliza-
Parts Cleaning Disinfection
disinfector tion
Disposable measuring
tube system comprising:
– PEEP control line
– Pressure-measurement
tube
– CO2 measuring hose
– Connector
– Water filter
– Y-piece (Luer lock)
These are disposable parts and must not be reused. Use new parts instead.
Luer lock connector
Disposable Patient Hose
System
Inhalation adapter
Hygiene input filter (after
contamination or after
the service life has
expired)(1)

(1) Wipe disinfection possible within the service life of 24 hours of


ventilation (at FiO2 < 100% oxygen) or a maximum of 6 months

114 EN Hygienic preparation


10. Function check
The user must carry out a function check on the unit before each use and after each
disassembly, but at least every 6 months.

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.

Function check EN 115


10.1 Intervals
Before each use:
• Perform a function check.

After each use or disassembly:


• Clean, disinfect and sterilize the unit and the components
(see "9. Hygienic preparation" on page 109).
• Perform a function check.

At least every 6 months:


• Perform a function check.
• Every six months, the device asks you to change the suction filter or the
hygiene input filter (if any) before it displays the function check status
report. Then 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).

Every 24 hours of ventilation at FiO2 < 100% (following a prompt during


the function check)
• Change the hygiene input filter (see "12.6 Changing the hygiene input
filter" on page 132)

Every time contamination is transferred/in case of suspected notifiable


infectious disease/in case of notifiable infectious disease/in case of vis-
ible soiling of the filter e.g. by blood/if there is mechanical damage to
the hygiene input filter:
• Change the hygiene input filter (see "12.6 Changing the hygiene input
filter" on page 132).

116 EN Function check


10.2 Checking the system for leaks
1. Open the valve on the oxygen cylinder slowly. You can
now read the cylinder pressure on the contents gauge
of the pressure reducer. For example, a reading of
200 bar means that the cylinder is full; a reading of
100 bar means that it is still half full.
You should change the cylinder in good time, e.g.,
when the pressure falls below 50 bar, to ensure a
sufficiently long operating time.
2. Close the cylinder valve again.
3. Watch the needle of the contents gauge on the
pressure reducer for approx. 1 minute. If the position of
the needle stays constant, the system is free from leaks.
If the needle falls steadily, there is a leak in the system.

Repairing leaks
Notice:
Always keep a stock of replacement seals for the connections.

1. Prepare a soapy solution using unperfumed soap.


2. Wet all the screw and hose connections with the solution. If bubbles form, this indicates
a leak.
3. Release the pressure in the system:
Close the oxygen cylinder valve. Switch MEDUMAT Transport on briefly until the
contents gauge on the O2 cylinder indicates "0". Then switch MEDUMAT Transport
off again.

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.

Function check EN 117


10.3 Checking the patient valve
(reusable hose system only)
Caution!
• Also observe the "Function check" section in the instructions for use of the
"Patient Hose System" WM 66696.
• Never use torn, wavy, distorted or sticky diaphragms for ventilation. Otherwise
considerable malfunctions are to be expected.
• When assembling the patient valve, it is essential you make sure that the PEEP
control diaphragm is correctly positioned and the right way up (the letters TOP on
the PEEP control diaphragm must face upwards). Otherwise the patient valve may
malfunction, putting the patient at risk.
1. Pull all the tubes and cables off the patient valve.
2. Dismantle the patient valve.
5 1 – 1 Control cover
4
– 2 PEEP control diaphragm
2
– 3 Main body of the patient valve
3
– 4 Check valve diaphragm
– 5 Holder for check valve diaphragm
3. Visually inspect all parts for cracks or other mechanical damage.
4. Change any diaphragms that are torn, wavy, distorted or sticky.
5. Reassemble the patient valve.

118 EN Function check


10.4 Performing a function check
1. Connect the patient hose system to the device.
2. Connect up the test lung:
• EasyLung for WEINMANN Emergency WM 28625
or
• Testing bag WM 1454
3. Connect the device to the oxygen supply.
4. Connect the device to the power supply.
5. Switch on the device.
6. Check that the alarm LED lights up briefly during the
self-test.
7. Check that the alarm buzzer emits a series of five
audible sounds and the loudspeaker then emits two
audible sounds during the self-test.
8. Select the "Function check" item on the start screen.
9. Follow the instructions on the display.
10.Start the function check by selecting "Start function
check" in the menu.
Notice:
• Do not touch/move the test lung or the patient hose
system. The test lung is filled and emptied according
to a specific paradigm during testing. Touching or
moving it could distort the results of the function
check.
• If a fault in the device occurs during the function
check, check that the hose system and the test lung
are OK. Switch the device off and then on again. Re-
peat the function check. If the fault reoccurs, have
the device repaired by WEINMANN Emergency or an
authorized dealer.
11.Press all the device controls apart from the On/Off
button.
All fully functional controls are displayed in green.
12.If necessary: Press the menu button twice to cancel
the function check.
The device shows the status report.

Function check EN 119


13.Following a prompt during the function check: Change
the suction filter (see "12.6 Changing the hygiene
input filter" on page 132) or the hygiene input filter
(see "12.6 Changing the hygiene input filter" on
page 132).
14.Confirm the change of the suction filter or the hygiene
input filter.

15.Proceed with the device as follows:

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.

120 EN Function check


Testing the power-failure alarm
1. Once the automatic function check has finished, switch to ventilation mode.
2. Pull out the battery and disconnect the charger or remove the portable system from the
wall mounting (for not more than 30 seconds).
If the red alarm LED flashes and an acoustic signal sounds, the power failure alarm is
functioning.
3. Reconnect the power supply.
4. If you wish to use the unit, switch it on again.

Function check failed


Caution!
If the unit fails the function check, it is not ready for operation. Only operate the unit
if the function check has been passed completely.

If a component is marked with a red cross in the status report:


1. Inspect the hose system and test lung.
2. Switch the unit off and then on again.
3. Repeat the function check.
If a component is still marked with a red cross in the status report after the second function
check, proceed as follows:

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.

Function check EN 121


Component Rectification
Pneumatic A red cross next to "Pneumatic" and "Sensors" can indicate
a secondary fault; for this reason, correct the "BiCheck",
"Hose system" and "Suction filter" faults first and then
repeat the function check. If, after that, "Pneumatic" and
Sensors "Sensors" are still marked with a red cross, have the unit
serviced by an authorized specialist dealer or by
WEINMANN Emergency.
Have the unit serviced by an authorized specialist dealer or
Key and rotating switch test
by WEINMANN Emergency.
Suction filter Change suction filter.
or or
Hygiene input filter Change hygiene input filter
If, despite all your measures to rectify the faults, a component still remains marked with a
red cross, please contact an authorized dealer or WEINMANN Emergency.

122 EN Function check


11. Troubleshooting
If problems occur which cannot be rectified immediately, contact the manufacturer,
WEINMANN Emergency, or your authorized dealer to have the unit repaired. Do not
continue using the unit to avoid serious damage.

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.

A red cross in the


(see "Function check failed" on
function check status Non-functioning components
page 121)
report

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

12.1 MEDUMAT Transport


Have the cleaned, disinfected unit serviced at regular intervals. Maintenance work (except:
changing the suction filter or the hygiene input filter), safety checks according to §11 of
the MPBetreibV (German regulations governing owners/operators of medical devices) (only
in Germany) and maintenance work such as inspections and repairs must only be carried
out by the manufacturer or a technician specifically authorized by the manufacturer.
Additional information for Germany: In accordance with the safety check (STK) regulation
of the German regulations governing owners/operators of medical devices (MPBetreibV
§11) which is valid under German law, we as the manufacturer recommend that all
accessories for use of the MEDUMAT Transport that are connected with the same be
subject to a safety check (STK) every two years.

Keep to the following intervals:

Interval Relevant parts Operator


User/operator
Suction filter (if no hygiene input
Every 6 months (see "12.5 Changing the suction
filter installed)
filter" on page 131)
User/operator
Every 6 months or every (see "12.6 Changing the
Hygiene input filter (if installed)
24 hours of ventilation hygiene input filter" on
page 132)
User/operator/manufacturer or
Every 2 years (maintenance of Diaphragms in the patient hose
by a technician specifically
the patient hose system) system
authorized by the manufacturer.

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

12.2 Sending in device


Warning!
Risk of infection due to contaminated parts during maintenance work!

The device, components, and accessories may be contaminated, and infect the tech-
nicians with bacteria or viruses.

• Clean and disinfect the device, components, and accessories.


• Do not send in parts which are potentially contaminated.
1. Uninstall components and accessories.
2. Clean the device, components, and accessories (see "9. Hygienic preparation" on
page 109).
3. Send in the device and, if necessary, components and accessories to WEINMANN Emer-
gency or a technician specifically authorized by WEINMANN Emergency.

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.

12.5 Changing the suction filter


Caution!
• Never operate the unit without the suction filter. Otherwise the unit's functions
may be impaired or the unit may be damaged.
• Do not reuse filters.

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.

2. Remove the old suction filter with tweezers and dispose


of it correctly.
Suction filter
Screws 3. Clean the area of the air inlet and outlet openings with
a cotton bud (moistened with disinfectant).
Filter compartment cover
Caution!

Do not use compressed air for cleaning the area of


the air inlet and outlet openings, as this may blow
dust particles into the unit. This can cause
malfunctions, thereby putting the patient at risk.

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.

12.6 Changing the hygiene input filter


Notice:
If using a device with hygiene input filter, you only
have to change the hygiene input filter. You leave
the suction filter in the device.

1. Wipe-disinfect the outside of the unit and the hygiene


input filter.
2. Turn the bayonet locks on the hygiene input filter so
that they are crosswise to the protective ridges.

132 EN Maintenance
3. Remove the hygiene input filter from the device and
dispose of it correctly.

4. Place a new hygiene input filter onto the filter mount.


Neue Abbildung einfü- Observe the following: The bayonet locks on the hy-
gen giene input filter must be crosswise to the protective
ridges.

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

13.1 Standard scope of supply


MEDUMAT Transport with CO2 module WM 28400
Parts Order number
MEDUMAT Transport basic unit with CO2 module WM 28415
Reusable patient hose system, complete WM 28425
Battery WM 28384
Set of vibration absorbers for unit installation WM 15730
Ventilation mask size 5 for adults WM 5074
Set of CPAP/NIV disposable masks with air cushion
– 1 x CPAP/NIV disposable mask in each of the
WM 15807
sizes S, M, L with retaining ring for headgear
– 1 x headgear
EasyLung for WEINMANN Emergency WM 28625
Set of suction filters WM 15473
Delivery record WM 16318
Instructions for use MEDUMAT Transport WM 66001
Brief operating instructions WM 66016
Set, inhalation for MEDUMAT Transport WM 15925
Velcro strap with clip WM 28964
MEDUMAT Transport without CO2 module WM 28300
Parts Order number
MEDUMAT Transport basic unit without CO2
WM 28315
module
Patient hose system without CO2measurement,
WM 28295
reusable, complete
Other items supplied as with MEDUMAT Transport
WM 28400

Product, accessories EN 135


13.2 Accessories

Parts Order number


Oxygen cylinder, 2-liter WM 1822
Lightweight aluminium oxygen cylinder, 2-liter WM 1821
Pressure reducer OXYWAY Fix III 190 l/min; 4.5 bar WM 30301
Pressure reducer OXYWAY Fast II High Flow
WM 31891
190 l/min; 4.5 bar
Pressure hose, 10 bar, with connection nozzle
Article number
G 3/8; at the other end, the option of a union nut
on request
G 3/8 or oxygen supply connector
Pressure hose, fabric, 3000 mm LG, with connector Article number
for oxygen supply on request
AIR pressure hose, 3000 mm LG, with Walther
WM 28223
coupling and AIR connection plug
Externally chargeable battery WM 28385
Power supply unit WM 28937
Set, holding plate for equipment rail WM 15845
Set, wall holder for power supply unit and charger WM 15846
Wall holder for rechargeable battery pack WM 15847
Hospital standard rail attachment set
WM 15795
(1 x WM 8244)
Rail bracket attachment set WM 15806
12 V supply lead WM 28356
Ventilation mask, transparent, with inflatable
silicone cushion:
– Adults - Size 5 WM 5074
– Children and teenagers - Size 3 WM 5082
– Babies and infants - Size 1 WM 5086

136 EN Product, accessories


Parts Order number
Ventilation mask, one-piece, silicone
– Size 5 WM 5084
– Size 4 WM 5085
– Size 2 WM 5092
– Size 1 WM 5091
– Size 0 WM 5090
Rendell-Baker ventilation mask, silicone:
– Children - Size 3 WM 5063
– Children - Size 2 WM 5062
– Infants - Size 1 WM 5061
– Babies - Size 0 WM 5060
CPAP/NIV reusable mask, silicone
– Children - Size S WM 20713
– Adult - Size M WM 20714
– Large adult - Size L WM 20715
Set of ventilation masks, silicone
– 1 x CPAP/NIV reusable mask in each of the sizes
S, M, L WM 15808
– 1 x headgear
– 1 x retaining ring for headgear
Retaining ring for headgear for CPAP/NIV reusable
WM 20701
masks
Oropharyngeal tube:
– Adults - Size 3 WM 3165
– Teenagers - Size 2 WM 3163
– Children - Size 1 WM 3162
3 m patient hose system with CO2 measurement,
WM 28676
reusable, complete
3 m patient hose system without CO2
WM 28694
measurement, reusable , complete
Disposable hose system, 3 m, with CO2
WM 28688
measurement, without BiCheck flow sensor
Disposable hose system, 3 m, without CO2
WM 28691
measurement, without BiCheck flow sensor
Patient hose system with CO2 measurement,
WM 28215
disposable, with reduced dead space, complete

Product, accessories EN 137


Parts Order number
Patient hose system without CO2 measurement,
WM 28255
disposable, with reduced dead space, complete
Disposable hose system with CO2 measurement,
with reduced dead space, without BiCheck WM 28193
flow sensor
Disposable hose system without CO2 measurement,
with reduced dead space, without BiCheck WM 28183
flow sensor
Set of disposable hose systems, 3 m, with CO2
measurement, without BiCheck flow sensor WM 15851
(10 x WM 28688)
Set of disposable hose systems, 3 m, without CO2
measurement, without BiCheck flow sensor (10 x WM 15852
WM 28691)
Set of reusable components for 2 m patient hose
WM 15399
system
Set of reusable components for 3 m patient hose
WM 15529
system
Set of disposable hose systems, with CO2
measurement, without BiCheck flow sensor WM 15837
(10 x WM 28690)
Set of disposable hose systems, with CO2
measurement, without BiCheck flow sensor WM 15838
(25 x WM 28690)
Set of disposable hose systems, with CO2
measurement, without BiCheck flow sensor WM 15839
(50 x WM 28690)
Set of disposable hose systems, without CO2
measurement, without BiCheck flow sensor WM 15840
(10 x WM 28695)
Set of disposable hose systems, without CO2
measurement, without BiCheck flow sensor WM 15841
(25 x WM 28695)

138 EN Product, accessories


Parts Order number
Set of disposable hose systems, without CO2
measurement, without BiCheck flow sensor WM 15842
(50 x WM 28695)
Set, disposable hose system with CO2
measurement, with reduced dead space, WM 15867
without BiCheck flow sensor (10 pieces)
Set, disposable hose system without CO2
measurement, with reduced dead space, WM 15871
without BiCheck flow sensor (10 pieces)
Protective cap for BiCheck flow sensor WM 28218
Set, protective cap for BiCheck flow sensor (x30) WM 15923
Set, hygiene input filter for MEDUMAT Transport WM 15824

13.3 Options

Parts Order number


Bluetooth communication option WM 28269
NVG option WM 29234

Product, accessories EN 139


13.4 Replacement parts

Parts Order number


Seal for pressure hose WM 1145/31
Ventilation mask, size 5, for adults WM 5074
Set of CPAP/NIV disposable masks with air cushion
– 1 x CPAP/NIV disposable mask in each of the
WM 15807
sizes S, M, L with retaining ring for headgear
– 1 x headgear
Rechargeable battery WM 28384
Reusable patient hose system, complete WM 28425
Disposable patient hose system, complete WM 28435
Measuring hose system without CO2
WM 28622
measurement, 2 m, reusable
Measuring hose system without CO2
WM 28623
measurement, 3 m, reusable
Water filter (5 pcs) WM 97011
Protection sleeve for ventilation hose WM 28585
Protection sleeve for 3 m ventilation hose WM 28686
Set of suction filters (5 x WM 28331) WM 15473
BiCheck flow sensor (5 x WM 22430) WM 15685
EasyLung for WEINMANN Emergency WM 28625
CPAP/NIV disposable masks
WM 20703
– Children - Size S, with retaining ring for headgear
WM 20704
– Adult - Size M, with retaining ring for headgear
WM 20705
– Large adult - Size L, with retaining ring for
headgear
Set of 25 CPAP/NIV disposable masks for children,
WM 15831
size S, with retaining ring for headgear
Set of 25 CPAP/NIV disposable masks for adults,
WM 15832
size M, with retaining ring for headgear
Set of 25 CPAP/NIV disposable masks for large
WM 15833
adults, size L, with retaining ring for headgear

140 EN Product, accessories


Parts Order number
Set of 50 CPAP/NIV disposable masks for children,
WM 15834
size S, with retaining ring for headgear
Set of 50 CPAP/NIV disposable masks for adults,
WM 15835
size M, with retaining ring for headgear
Set of 50 CPAP/NIV disposable masks for large
WM 15836
adults, size L, with retaining ring for headgear
Headgear for CPAP/NIV disposable masks WM 20702
Luer lock connector, perpendicular WM 22877
Set, Luer lock connector, perpendicular
WM 15459
(10 x WM 22877)
Cover for measurement port WM 28214
Inhalation adapter WM 28263
Hygiene input filter WM 28252
Velcro strap with clip WM 28964

Product, accessories EN 141


14. Technical Data

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)

142 EN Technical Data


MEDUMAT Transport
Classification acc. to
EN 60601-1
– Type of protection Protection class II
against elec. shock
– Degree of protection Type BF
against elec. shock
– Degree of protection IPX4
against water
Electromagnetic
compatibility (EMC) as per
EN 60601-1-2
– Radio interference
suppression EN 55011, RTCA DO-160E
– Radio interference
immunity EN 61000-4 Parts 2 to 6 and 11, RTCA-DO160E
Standards applied EN 60601-1, EN 794-3, ISO 10651-3, EN 1789, RTCA DO-160E
7" TFT color display
Display Resolution: 800 pixels x 480 pixels
Brightness: 350 cd/m2
Control Time- and trigger-operated, pressure-controlled or volume-controlled
Ventilation modes
– Volume-controlled: SIMV + ASB, IPPV, S-IPPV
– Pressure-controlled: PCV, aPCV, BiLevel + ASB, CPAP + ASB, PRVC + ASB
5 l/min - 25 l/min in 5 l stages
Preoxygenation
Tolerance of pre-oxygenation flow: ±2 l/min or 20%
Operating gases Medical oxygen, concentrator oxygen, sterile compressed air (AIR)
Operating pressure range 2.7 bar - 6.0 bar
at least 2.1 bar
Required gas supply
at least 80 l/min
Recommended gas
supply:
– dyn. supply pressure 2.1 bar
– drawn flow > 100 l/min
At least 150 l/min at a dynamic supply pressure of 4.5 bar
Maximum outlet flow and addition of ambient air.
With volume-controlled ventilation, the outlet flow is limited to 100 l/min.
I:E Adjustable between 59:1 and 1:59
Respiratory rate 0 min-1 - 60 min-1

Technical Data EN 143


MEDUMAT Transport
min. 0.2 s (200 ms)
Inspiration time:
max. 59 s
Tidal volume 50 ml - 2000 ml
3 mbar - 60 mbar
(With pressure-controlled ventilation modes: pressure control via
Ventilation pressure
proportional valve)
With volume-controlled ventilation modes: pressure limitation to pMax
Pressure support (Δ pASB) 0 mbar - 30 mbar
Mechanical safety valve Pressure limitation to 100 mbar max.
PEEP 0 mbar - 30 mbar (pressure control via proportional valve)
Trigger Flow trigger, recording of the flow value via internal flow sensor
Trigger sensitivity with
Inspiration trigger: 1 l/min - 15 l/min
assisted ventilation (flow
Expiration trigger: 5% - 50% of the inspiratory maximal flow
trigger)
Trigger time slot in aPCV
0%-100% of Te
ventilation mode
Flow:
10 l/min-25 l/min
- Pre-oxygenation
0 l/min-10 l/min
- Inhalation
Vt/kg body weight 4 ml/kg body weight -10 ml/kg body weight
Tolerances for respiratory
± 5%
time ratio
Tolerances for ventilation
± 1/min-1
rate
Tolerances for tidal
± 20 ml or ± 15%
volume
Tolerances for ventilation
± 3 mbar or ± 10%
pressure
Tolerances for flow
measurement ± 20%
(monitoring)
Tolerances for volume
measurement ± 20%
(monitoring)
Side-stream method, removal rate 80 ml/min
CO2 measurement Notice: CO2 measuring is cross-sensitive to oxygen and displays a value
10% less than the measurement during ventilation with 100% oxygen.

144 EN Technical Data


MEDUMAT Transport
Tolerances for CO2 ± 0.43 vol% + 8% of the CO2 concentration
measurement as per ISO 80601-2-55
O2 measurement Non-consuming O2 sensor
O2 concentration Adjustable in 10% steps between 40% and 100%
In the range from 40 vol% to 60 vol%: ± 18 vol%
In the range > 60 vol%: ± 10 vol%
Tolerances O2
The specified tolerances apply for the use of medical oxygen, sterile
measurement
compressed air, and concentrator oxygen with an oxygen concentration of
90-96%.
External thread G 3/8
Compressed gas thread
Quick-release coupling, available for various types
Ventilation hose
WEINMANN Emergency-specific
connection
Patient valve connections WEINMANN Emergency-specific
Internal buffer battery 3 V button cell, expected life: at least 8 years
Sound pressure level of
45 - 80 dB (A)
alarm
Ventilation hose PVC hose; service life at least 30 cleaning,
– Reusable system disinfection or sterilization cycles

– Disposable system PVC hose; one-time use


– Disposable hose system PP hose, one-time use
with reduced dead
space

Resistance of Patient Hose


System (as per EN 794-3
and DIN ISO 10651-3):
< 6 mbar at 60 l/min (BTPS), < 6 mbar at 30 l/min (disposable hose system
– Inspiration
with reduced dead space)
– Expiration
Flow resistance at 15, 30 and 60 l/min; pressure drop < 1.5 / <3.0 and
– Spontaneous respiration
<6.0 mbar
Dead space*
– Reusable patient valve 29 ml (with elbow: 41 ml)**
– Disposable patient valve 25 ml (with elbow: 34 ml)**

Technical Data EN 145


MEDUMAT Transport
Compliance*
– Reusable hose system 0.79 ml/hPa (ml/cmH2O)
– Disposable hose system 0.90 ml/hPa (ml/cmH2O)
Internal volume of the
complete respiratory
system*:
– Reusable hose system approx. 586 ml
– Disposable hose system approx. 586 ml
Hygiene input filter
> 99% for bacteria/viruses***
efficiency

Subject to alterations in design.


*The specified values apply 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 Patient Hose
System WM 66696 for the values that apply to your
system.
**The specified values only apply in connection with a
BiCheck flow sensor.
***The specified value applies for standard conditions.
All the measurements (flow, volumes, minute volume)
relate to ambient temperature and ambient air pressure
(ATP), unless stated otherwise.
1bar = 100kPa

146 EN Technical Data


14.2 Battery specifications
Battery
Type Li-Ion, maintenance-free
Dimensions (W x H x D) 100 mm x 118 mm x 45 mm
Weight 604 g
Rated capacity 6.6 Ah (3≥ 71.3 Wh)
Rated voltage 10.8 V
Charging time (0% to 95%) 4h
Charging temperature +5°C to +45°C
Operating time with battery 7.5 h*
Temperature range for
-18°C to +50°C
operation
Transport/Storage:
– Temperature range -30°C to 70°C
– Humidity 0% RH to 95% RH without condensation
Service life At least 300 charging cycles** or 2 years
When stored in the device without a power connection:
Charging intervals Every 5 months
When not stored in the device: Every 6 months

* The operating time is subject to the following conditions:


Ventilation mode = IPPV, frequency = 10/min,
Vt = 500 ml, I:E = 1:1.7, display brightness = 80%, ambi-
ent temperature = 22°C. Notice: The battery life is an ap-
proximation and depends on the ambient conditions, the
ventilation settings, the alarms triggered and the age of
the battery, among other things.
** One charging cycle corresponds to one instance of the
battery being charged by 100%, regardless of the current
battery status. Example: If you charge the battery to 100%
from a status of 50% twice, the device counts this as one
charging cycle.

Technical Data EN 147


14.3 Block diagram

Medumat Transport Patient Hose System

Pressure
sensors

Pressure gas Pressure


inlet controller
Dosing valve
Safety and Optional: Optional:
Internal flow BiCheck Optional:
emergency Patient valve Patient
and O2 sensor Inhalation adapter flow channel HME filter Inhalation adapter
air valve
Injector
Ambient air Air filter
inlet

Optional:
et CO2 sensor
Optional:
Hygiene
input filter

14.4 Separation distances

Recommended separation distances between portable and mobile


RF telecommunication devices (e.g., cellular phone) and MEDUMAT Transport
The MEDUMAT Transport is intended for use in an electromagnetic environment in which the RF
interference is controlled. The customer or user of the MEDUMAT Transport can help to avoid
electromagnetic interference by observing the minimum distance between portable and mobile RF
telecommunication devices (transmitters) and the MEDUMAT Transport, as recommended below,
according to the transmitter's power output.
Nominal power of Separation distance according to transmission frequency in m
the RF device
in W 150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
0.01 0.04 0.04 0.07
0.1 0.11 0.11 0.22
1 0.35 0.35 0.70
10 1.11 1.11 2.21
100 3.50 3.50 7.00
Further technical data are available on request from WEINMANN Emergency and are also
provided in the service and repair instructions. Subject to alterations in design.

148 EN Technical Data


14.5 O2 consumption of the unit

PEEP = 20 mbar
PEEP = 15 mbar
PEEP = 10 mbar
PEEP = 5 mbar

PEEP = 0 mbar
Consumption [l/min]

pInsp [mbar]

14.6 Possible O2 concentration with counterpressure

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).

Technical Data EN 149


The following diagram applies when using medical oxygen.

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

Attainable oxygen concentration with counterpressure*


60
Device outlet flow in l/min**
100,0 140

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.

150 EN Technical Data


**

Vt ( ml )
Device outlet flow(l/min) = ----------------- × 0.06
Ti ( s )

14.7 Attainable tidal volume with counterpressure


With volume-controlled ventilation, the volume released to the patient is influenced by the
hose compliance. In relation to the respective airway pressure, the tidal volume falls by
0.79 ml/mbar (reusable hose system) or by 0.9 ml/mbar (disposable hose system).
Deviation of tidal volume (ml)
Counterpressure (mbar) Reusable hose Disposable hose
system system
0 0 0
5 -3.95 -4.5
15 -11.85 -13.5
30 -23.7 -27
60 -47.4 -54

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.

Technical Data EN 151


14.8 Calculation of body weight on the basis of
body height
In the start menu, you can set the height of the patient under the menu item New patient
(see “5.2 Switching the unit on/Self-test” on page 41). The device calculates the appropri-
ate ventilation parameters based on the set height and the corresponding ideal body
weight (IBW).
The IBW value is calculated as follows:
• Child(1) (height ≤ 154 cm):

IBW = 2.05 x e0,02 x height


• Adult(2) (height > 154 cm):

IBW male = 50 + 2.3 x [height/2.54 - 60]


IBW female = 45 + 2.3 x [height/2.54 - 60]

With the aid of the IBW, the tidal volume can be calculated as follows:

(KG = body weight)

Example
• Patient, male, height 185 cm
• Setting for Vt/kg KG = 6 ml/kg

IBW = 50 + 2.3 x [185 cm/2.54 - 60] = 79.51 kg 80 kg

Vt= 80 kg x 6 ml/kg = 450 ml

(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.

152 EN Technical Data


15. Glossary

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

Pressure support ASB


max 4s

Flow max =100%

50% flow max


50%

5% flow max
5%
0%

Time

Pressure support ASB applies extra volume which supports


inspiration. Pressure support is triggered by the patient. The
amount of pressure support depends on the Δ pASB parameter and
the expiratory trigger.
Pressure-controlled ventilation determines the pressure which is
administered to the patient's lungs (inspiratory pressure pInsp as
the control variable). The breath volume is determined by the
Pressure-controlled ventilation
compliance of the lungs and the applied pressure. The maximum
pressure in the lungs remains constant, whereas the volume varies.
Example: PCV ventilation mode.
Measurement for the airway resistance (flow resistance of the
respiratory gas) which must be overcome during inspiration and
Resistance (R)
expiration.
Unit: mbar/(l/s)
Volume applied per minute (depends on ventilation mode). The
respiratory minute volume is the product of the respiratory rate f
Respiratory minute volume (MV)
and the tidal volume Vt:
MV = f x Vt

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

17. Declaration of Conformity


WEINMANN Emergency Medical Technology GmbH + Co. KG declares herewith that the
product complies fully with the respective regulations of the Medical Device Directive
93/42/EEC. The unabridged text of the Declaration of Conformity can be found on our
website at www.weinmann-emergency.com

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

Simply Professional Made in Germany WEINMANN-Emergency.com

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy