TLR® Purpose: To provide protocol-driven respiratory care for the patient with atelectasis, ventilation/perfusion mismatch, and hypoxemia due to retained.

TLR®TLR®

Purpose: To provide protocol-driven respiratory care for the

patient with atelectasis, ventilation/perfusion mismatch, and hypoxemia due to retained pulmonary secretions, with or

without concomitant wheezing.

IPV

TLR®TLR®

Therapeutic HFPV devicesIPV® 2C IPV® 1C

Impulsator® Impulsator® HC

The units provide the pneumatic flow and pressure required to

operate the Phasitron®

TLR®TLR®

Pulses of gas are delivered:

Each has an inspiratory and expiratory phase (1:2.5 ratio)

Gas is entrained during inspiratory phase (up to 1:5) – from nebulizer through entrainment port

Open to ambient during expiratory phase – exhalation port

Automatically clutches to adjust each pulse in response to the lung

The Phasitron®®; The patient interface

TLR®TLR®

Pulses of gas are delivered to:

Both preferential and obstructed airways

Breach the secretion blockage

Either through or around, depending on the type of secretion

Once behind the blockage, alveoli are recruited and the secretion continues to be mobilized.

So how does it work?

TLR®TLR®

Phasitron®

TLR®TLR®

The AccessoriesNebulizer, Connectors & O rings

TLR®TLR®

The Complete Patient InterfaceAKA – Patient Circuit, Phasitron®

Includes – Phasitron®, Nebulizer & hoses

A50095-1

TLR®TLR®

Phasitron® - Specific for In-line

TLR®TLR®

The AccessoriesNebulizer (with float & drip port), Cone “wye”

TLR®TLR®

The Complete Patient InterfaceAKA – Patient Circuit, Phasitron®

Includes – Phasitron®, Nebulizer & hoses

A50474-2

TLR®TLR®

In-line set upIn-line set up

TLR®TLR®

In-line resultsIn-line results

When in-line and when direct to airway?•Patient stability, clinician comfort

•If a stable patient (such as quad or weaning patient) then much easier to use appropriate Phasitron®® direct to the airway

•If unstable and it is preferable to not break circuit or for continuous IPV®® then use Pressure Control (see vent videos following) and Cone in-line adapter.

TLR®TLR®

IPVIPV®®-1C-1C•Color coded connectionsFor hose harness

•Percussion controlHard (100 bpm) to easy (300 bpm) adjust for comfort and effect

Easy for more gas exchange and to loosen secretions, hard for more mobilization; scan through different rates later in the treatment

•Drive pressure control“Amplitude”; start at about 20 – slowly increase. Target 25 – 30 for peds, 35 – 40 for adults (may take several treatments to reach these pressures).

•Master on/off

•Proximal pressure monitor•Manual Breath Try it on yourself before using on patient

TLR®TLR®

IPVIPVINDICATIONSINDICATIONS

With or Without the With or Without the Cooperation of the patient. Cooperation of the patient.

Ventilation Ventilation & &

Oxygenation.Oxygenation.

MobilizationMobilization of of

airways secretions.airways secretions.LungLung

RecruitmentRecruitment