PROVIDING EARLY ALERTS TO SIGNS OF RESPIRATORY … · 2019-04-04 · 6 Power, Mounting Options, and...

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PROVIDING EARLY ALERTS TO SIGNS OF RESPIRATORY COMPROMISE Microstream capnography monitors and connectivity QUICK REFERENCE GUIDE

Transcript of PROVIDING EARLY ALERTS TO SIGNS OF RESPIRATORY … · 2019-04-04 · 6 Power, Mounting Options, and...

PROVIDINGEARLY ALERTS TO SIGNS OF RESPIRATORY COMPROMISEMicrostream™ capnography monitors and connectivity

QUICK REFERENCE GUIDE

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Capnostream™ 35 respiratory monitor product specifications

Warranty: Five year standard warranty to be free of defects in materials and workmanship

General characteristics

Unit dimensions 213 mm (h) x 137 mm (w) x 55 mm (d) [8.38 in (h) x 5.39 in (w) x 2.16 in (d)]

Unit weight 1 kg (2.2 lb)

Power supply

Input power 100–240 VAC, 50/60 Hz, ± 10%

Battery

Battery type Lithium ion

Battery pack nominal voltage and energy 7.2V; 18.72Wh

Battery operation 3 hours for removable battery pack; 20 minutes for internal battery pack

Battery charging time Up to 5 hours when the monitor is off and up to 8 hours when the monitor is on, for both batteries

Display

Screen 109 mm (4.3 in) color TFT displayPixel pitch: 0.198 (horizontal) x 0.198 (vertical) mm Active display area: 95.04 (horizontal) x 53.856 (vertical) mm Resolution: 480 x 272 pixelsViewing angle: (vertical) 125°Viewing angle: (horizontal) 140°

Trace speed 3.0, 6.3, 12.5, and 25 mm/second

Waveform sampling rate 77.82 samples/second for SpO2 (fixed)20 samples/second for capnography (fixed)

Trend storage 48 hours with 1 second resolution

Trend display Graphical display: 1 hour, 2 hour, 4 hour, 8 hour, 12 hour viewsTabular display intervals: 1 second, 5 seconds, 15 seconds, 30 seconds, 1 minute, 5 minutes, 15 minutes, 30 minutes, 1 hour

Certainty where it matters most

Capnostream™ 35 Portable Respiratory Monitor Quick, easy, reliable access to respiratory status. It’s key to providing safe and effective care — from a patient under sedation during a procedure to monitoring a patient on the general care floor. With a combination of Microstream™ capnography and Nellcor™ pulse oximetry technologies, you can count on the Capnostream™ 35 portable respiratory monitor to deliver in virtually any clinical setting.

With the Capnostream™ 35 portable respiratory monitor you get:

∙ A rugged design made for prehospital, transport, and hospital settings

∙ Ingress protection against liquids and solids (IP54 enclosure)

∙ Shockproof protection to 1.25 meters

∙ Smart alarm management and smart capnography algorithms

∙ Wireless connectivity to Vital Sync™ virtual patient monitoring platform

∙ Flexible reporting options

PART NUMBER

Capnostream™ 35 portable respiratory monitor and 3 meter power cord

PM35MN02

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Algorithms

Integrated Pulmonary Index™ algorithm, Nellcor™ SatSeconds technology, Apnea-Sat Alert™ algorithm, Smart Alarm For Respiratory Analysis™ algorithm

Communication interface

Wi-Fi (Vital Sync™ virtual patient monitoring platform connectivity option) and file transfer via USB flash drive or micro SD card

Microstream™ capnography

CO2 units mm Hg or kPa or Vol%

CO2, etCO2 range 0–150 mm Hg

CO2 waveform resolution 0.1 mm Hg

etCO2 resolution 1 mm Hg

CO2 accuracy 0–38 mm Hg: ±2 mm Hg39–150 mm Hg: ± (5% of reading + 0.08 for every 1 mm Hg above 38 mm Hg)

Respiration rate range 0–150 bpm

Respiration rate accuracy 0–70 bpm: ±1 bpm71–120 bpm: ±2 bpm121–150 bpm: ±3 bpm

CO2 alarms No breath, etCO2 High, etCO2 Low, RR High, RR Low, Integrated Pulmonary Index™ algorithm (IPI). IPI also requires pulse oximetry information

Flow rate 50 (42.5 ≤ flow ≤ 65) mL/minute, flow measured by volume

Waveform sampling 20 samples/second

Response time 2.95 seconds (typical); with use with sampling lines with long tubing, ~5.0 seconds

Initialization time 40 seconds (typical)

Calibration interval Initially calibrate after 1,200 operating hours, then once a year or after 4,000 operating hours, whichever comes first

Nellcor™ pulse oximetry

SpO2 measurement range 1 to 100%

SpO2 accuracy

Adult and pediatric modes

SpO2 range 70 to 100% ±2 digits over the range of 70 to 100% (when using the accessories defined in this document), including under low perfusion; with motion, ±3 digits; with low saturation (60 to 80%) ±3 digits

Infant/neonatal mode

SpO2 range 70 to 100% ±2% over the range of 70 to 100% (when using the accessories defined in the operator’s manual), with motion ±3%; with low saturation (60 to 80%) ±3%

Pulse rate range 20 to 250 bpmPulse rate values of < 20 bpm shall be displayed as zero bpm Pulse rate values of > 250 bpm shall be displayed as 250 bpm

Pulse rate accuracy ±3 digits over the range of 20 to 250 bpm inclusive, including under low perfusion; with motion, 48 to 127 bpm ±5 digits

Alarms SpO2 High, SpO2 Low, PR High, PR Low

Nellcor™ SatSeconds alarm management range

10–100

Data output and connectivity

Capnostream™ 35 portable respiratory monitor

Data output ∙ Wi-Fi streaming data utilizing Capnostream™ 20 bedside monitor protocol

∙ USB streaming data utilizing Capnostream™ 20p bedside monitor protocol

∙ USB storage to flash memory devices

∙ MicroSD card storage

Connectivity options ∙ Vital Sync™ virtual patient monitoring platform connectivity option

∙ Cerner™* system

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Get the complete picture of oxygenation and ventilation1

Capnostream™ 20p Bedside Capnography MonitorThe Capnostream™ 20p bedside capnography monitor delivers a broad range of respiratory status information and alarm management technology. It’s designed to:

∙ Measure etCO2, SpO2, pulse rate, and respiration rate

– These measurements are incorporated into a single number by the Integrated Pulmonary Index™ algorithm and represent an inclusive respiratory profile

∙ Track and report apneas per hour (A/hr), and the oxygen desaturation index (ODI), which indicates the ‘dips’ in SpO2 via the Apnea-SatAlert™ algorithm

∙ Store up to 72 hours of trend data

∙ Offer multiple options for remote connectivity

Capnostream™ 20p bedside monitor product specifications

Warranty: Five year standard warranty to be free of defects in materials and workmanship

Power supply

Input voltage 100–240VAC, 50/60Hz

Fuses Two F3.15A 250 Volt

Input power 90 VA

Battery

Battery type 14.8V, 4Ah lithium ion

Battery operation 2.5 hours (without thermal recorder)

Battery charging time 100% in 12 hours

Controls

Front panel 1 switch for monitor on/off control4 specific function keys1 optical encoder with switch

Display

Screen 162 mm (6.4 in) color TFT displayPixel pitch: 0.204 (horizontal) x 0.204 (vertical) mmActive display area: 130.56 (horizontal) x 97.92 (vertical) mm (5.14 x 3.86 in)Resolution: 640 x 480 pixelsViewing angle: (vertical) 110°Viewing angle: (horizontal) 140°

Trace speed 3.0, 6.3, 12.5, and 25 mm/second

Waveform sampling rate 75.7 samples/second for SpO2 (fixed)20 samples/second for capnography (fixed)

Trend storage 8640 point storage

∙ 2 hours at 5 seconds resolution

∙ 24 hours at 10 seconds resolution

∙ 72 hours at 30 seconds resolution

Trend display Graphical display: 2 hour, 6 hour, 12 hour viewsTabular display: 60 minutes, 15 minutes, 3 minutes, 1.5 minutes, and minimum resolution (minimum resolution settable to 5, 10, or 30 seconds)

PART NUMBERS

Monitor with printer CS08657-03

Monitor without printer CS08651-03

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Microstream™ capnography

CO2 units mm Hg or kPa or Vol%

CO2, etCO2, FiCO2 range 0–150 mm Hg

CO2 waveform resolution 0.1 mm Hg

EtCO2, FiCO2 resolution 1 mm Hg

CO2 accuracy 0–38 mm Hg: ±2 mm Hg39–150 mm Hg: ± (5% of reading + 0.08% for every 1 mm Hg above 38 mm Hg)

Respiration rate range 0–150 bpm

Respiration rate accuracy 0–70 bpm: ±1 bpm71–120 bpm: ±2 bpm121–150 bpm: ±3 bpm

CO2 alarms No breath, etCO2 High, etCO2 Low, RR High, RR Low, Integrated Pulmonary Index™ algorithm (IPI); IPI also requires pulse oximetry information

Flow rate 50 (42.5 ≤ flow ≤ 65) mL/minute, flow measured by volume

Waveform sampling 20 samples/second

Response time 2.95 seconds (typical)

Initialization time 40 seconds (typical)

Calibration interval Initially calibrate after 1,200 operating hours, then once a year or after 4,000 operating hours, whichever comes first

Nellcor™ pulse oximetry with OxiMax™ technology

SpO2 measurement range 1 to 100%

SpO2 accuracy: Adult and neonatal

Saturation (% SpO2 ±1 SD)

70 to 100% ±2 digits; ±3 digits (motion)

60 to 80% ±3 digits

Low perfusion 70 to 100% ±2 digits

Pulse rate 20 to 250 bpm ±3 digits

Low perfusion 20 to 250 bpm ±3 digits

Alarms Adjustable alarm limitsSpO2 High, SpO2 Low, PR High, PR Low

Nellcor™ SatSeconds alarm management range

10, 25, 50, 100

Data output and connectivity

Capnostream™ 20 bedside capnography monitor

Data output ∙ USB storage to flash memory devices

∙ Analog output for use in sleep labs and other laboratory environments

∙ Serial port (RS-232) for data transfer

Connectivity options ∙ Vital Sync™ virtual patient monitoring platform

∙ Profox™* respiratory oximetry software

∙ Nurse call

∙ Nuvon VEGA™* system

∙ iSirona™* system

∙ Capsule™* system

∙ Cerner™* system

∙ Epic™* system

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Power, Mounting Options, and Accessories

Capnostream™ 35 portable respiratory monitor

Extra battery/charger kit For external charging and to quickly replace batteries in mobile environments or when a wall plug is not convenient (battery hot swap), including hospital transport, crash carts and EMS. Kit includes extra battery (PM35BTY) and charger (PM35CHG).

PM35CHGKIT

Spare battery Quickly replace batteries in mobile environments (battery hot swap) PM35BTY

Battery charger For external charging PM35CHG

Monitor and U.S. power supply

Capnostream™ 35 monitor and U.S. power supply PM35MN02

Monitor, U.S. power supply and Nellcor™ SpO2 sensor cable

Capnostream™ 35 monitor with power supply and Nellcor™ pulse oximetry patient interface cable, DOC-10, (10' cable)

PM35MN02KIT

U.S. power supply Main electrical power cord with AC adapter and DC cable PM35PSP2

Capnostream™ 35 portable respiratory monitor clamp and Vesa™* mounting adapter kit

Includes clamp (PM35MNF) and mounting adapter (PM35VAA) PM35CLP

Vesa™* mounting adapter plate†

Used to connect the Capnostream™ 35 portable respiratory monitor to fixed surface (i.e wall, desk, roll stand)Compatible with 75mm standard Vesa™* mounting systemsIncludes mounting plate adapter and screws

PM35VAA

Clamp Used to mount Capnostream™ 35 portable respiratory monitor on a temporary surface such as an IV pole or bedrailUsed in mobile and bedside environments

PM35MNF

†To use the clamp (PM35MNF) with the Capnostream™ 35 portable respiratory monitor, the mounting adapter plate (PM35VAA) is required.

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Power, Mounting Options, and Accessories

Capnostream™ 20p bedside capnography monitorBattery pack For external charging and to quickly replace battery when wall plug is not convenient

or unavailableBP01000

Power cord 3 meters 014256

Power cable strain relief Helps reduce gravity strain on socket/cable CS08807

Fuse, 3.14 amp/250 volt 2 fuses/package 010543

Paper rolls 6 paper rolls/package 010516

Nurse call cable Supplied unterminated 011149

Wireless bridge adapter (Bernoulli-compatible)

Supports all Nellcor™ OxiNet™ technology bridges: – Moxa TCC-80 (DB 9) RS-232 to 422 Adapter – Moxa NPort RS 232 to wired ethernet adapter – Nellcor™ brand version of wireless bridge

Reuses Capnostream™ 20p patient monitor feet for table-top use. Handle designed for monitor transport and use with GCX 5" Slide-in Plunger Mounting Plate. Hook and loop straps offer storage of the SpO2 cabling and power cords.

011892

Quick release pole clamp kit

Clamp fits pole mount (0.75”-1.5”/19mm-38mm) or rail mount (0.39”/10mm x 0.98”/25mm). Note: Never use a temporary mount when a falling Capnostream™ 20p monitor could cause patient injury.

011782

VESA standard mounting adapter plate

For mounting Capnostream™ 20p monitor on any VESA standard 75 x 75 mounting system as required by various standard industry mounting solutions.

010713

Roll stand, handle and basket

Features tilt/swivel adjustments. Post height is 38”/96.5 cm, overall height with casters, floor to mounting plate is 43”/109.2 cm. Mounting plate sold separately (010713).

10002385

CPU channel mount for Nuvon VEGA™* system

When the Capnostream™ 20p patient monitor is connected to the Nuvon VEGA™* System, the IDM-MG 3000 network appliance can be mounted on the post of a GCX Corporation roll stand.

GXC Part # RS-0009-40†

Wall channel, vertical Standard channel. Channel permits monitor to be set anywhere in the channel.

10003482

Wall mount pivot arm 12” pivot arm. Pivots at the slide for lateral adjustability. Wall Channel sold separately (10003482).

10003484

†Please visit gcx.com for product details and availability. Capnostream™ 20p bedside monitor accessories are designed to accommodate several mounting options. Additional mounting options are available through GCX Corporation.

CLINICAL DECISION-MAKING. UNCOMPLICATED.

Vital Sync™ CDS SolutionThe Vital Sync™ CDS solution was designed based on clinician input and evidence. It helps hospitals address respiratory compromise-related and other patient safety challenges – and deliver more effective patient care.

Integrated and customizable, the Vital Sync™ CDS solution combines remote monitoring software and a series of CDS mobile applications to improve clinical protocol implementation and management of patients on medical-surgical floors and in the ICU.

The Vital Sync™ CDS solution gathers patient physiological data directly from a variety of devices. These include the Capnostream™ 20p bedside monitor, Capnostream™ 35 portable respiratory monitor, and other Medtronic and third-party devices. All point-of-care analytics are continuously and automatically calculated, and alerts and notifications are managed based on the customer’s customized clinical protocol.

Learn more at medtronic.com/vital-sync-cds

© 2017, 2019 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic. ™* Third party brands are trademarks of their respective owners. All other brands are trademarks of a Medtronic company. 04/2019–17-PM-0070(3)–[WF#2559183]

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1. Maddox RR, Williams CK, Oglesby H, Butler B, Colclasure B. Clinical experience with patient-controlled analgesia using continuous respiratory monitoring and a smart infusion system. Am J Health Syst Pharm. 2006;63(2):157–164.