Engström Carestation - GE Healthcaregerespiratorycarecentral.com/pdf/EngstromCarestationSpec...Engström Carestation Breathing life into critical care GE Healthcare Physical Specifications

Features• Simplifieduserinterface

• ParamagneticO2sensing

• Non-Invasiveventilation(Optional)

• Secureaccesstocentralstations

• Sophisticatedpowermanagementcontrol withbatterybackup

• Auxiliarypressuresensor

• AirwayResistanceCompensation

Integrated Ventilation and Monitoring• Advancedventilation

• INview™Suite:SpiroDynamics™andFRCINview

• Plugandplaymodules

• PatientSpirometry

• Gasmonitoringwithmetabolicsandenergyexpenditure

• OptionaluseofproximalNeoFlowSensor withNeonatalventilation

Exceptional Design• Adaptabletoyourenvironment

• Flexibleandmoveabledisplay

• Transferablemodulebay

• Quick-releaseexpiratoryvalve

• Multipletrolleyconfigurations

Aerogen Aeroneb® Pro• Built-inadvancednebulizationsystem

• Operatedin-lineorindependentlyforinfants throughadults

EngströmCarestation™

Breathinglifeintocriticalcare

GEHealthcare

Physical Specifications

Dimensions

Height: 44.5cm/17.5in(Displaydown) 67.5cm/26.6in(Displayup)

Heightincludingcart: 122cm/48in(Displaydown) 145cm/57.1in(Displayup)

Width: 38cm/15in

Depth: 36cm/14in

Weight: 31kg/68.3lb(notincludingcart); 76kg/167.6lb(includingcart)

Display motion

Verticaltilt: 160°inraisedposition 60°inloweredposition

Heightadjustment: 23cm/9.1in

Modes of Ventilation

VolumeControlled(VCV)

PressureControlled(PCV)

PressureControlled,VolumeGuaranteed(PCV-VG)

SynchronizedIntermittentMandatoryVentilation,

VolumeControlled(SIMV-VC)

SynchronizedIntermittentMandatoryVentilation,

PressureControlled(SIMV-PC)

SynchronizedIntermittentMandatoryVentilation,Pressure

Controlled,VolumeGuaranteed(SIMV-PCVG)(optional)

BiLevelAirwayPressureVentilation(APRVcapable)

BiLevelwithVolumeGuaranteed(BiLevel-VG)(optional)

Non-InvasiveVentilation(NIV)(optional);nCPAPavailablewithNeonataloption

ConstantPositiveAirwayPressure/PressureSupportVentilation(CPAP/PSV)

ApneabackupavailableinSIMV-VC,SIMV-PC,BiLevel,SIMV-PCVG,BiLevel-VG,CPAP/PSVandVG-PS(institutionallyselectabledefaults)

VolumeGuaranteePressureSupport(VG-PS)availablewithNeonataloption

Control and Ranges

Maximumpeakflow: 200L/min

Flow: 0.2to30L/min(0.004to0.5L/sec) 2to90L/min(0.04to1.5L/sec) 2to160L/min(0.04to2.6L/sec)

Incrementalsettings: 0.2to5L/min(incrementsof0.1L/min) 5to30L/min(incrementsof0.5L/min) 2to40L/min(incrementsof1L/min) 40to90L/min(incrementsof5L/min) 40to160L/min(incrementsof5L/min)

FiO2: 21to100%O2

Rate: 3to150breathsperminuteforVCV,PCV, PCV-VGandBiLevel(incrementsof1breath perminute)

3to120breathsperminuteforVCV,PCV, PCV-VGandBiLevel(incrementsof1breath perminute)

2to60breathsperminuteforSIMV-VC, SIMV-PC,SIMV-PCVG,BiLevel-VG (incrementsof1breathperminute)

1to60breathsperminuteforSIMV-VC,SIMV-PC,SIMV-PCVGandBiLevel-VG(incrementsof1breathperminute)

Key: Available only when Adult patient type is selected

Available only when Pediatric patient type is selected

Available only when Neonatal patient type is selected

Note: Neonatal software is an optional feature. If not specified with the icon, features listed in this specifications sheet apply to Adult/Pediatric units and patient population selections.

Note: Ranges and Settings without an icon pertain to both Adult and Pediatric patient types.

Inspiratorytime:0.1to10sec 0.1to1sec(incrementsof0.01) 1to4sec(incrementsof0.1) 4to10sec(incrementsof0.25) 0.25to15sec 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.10) 4to15sec(incrementsof0.25)

Thigh: 0.1to10sec 0.1to1sec(incrementsof0.01) 1to4sec(incrementsof0.1) 4to10sec(incrementsof0.25) 0.25to15sec 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to15sec(incrementsof0.25)

Tlow: 0.25to18sec 0.25to1sec(incrementsof0.01) 1to4sec(incrementsof0.1) 4to18sec(incrementsof0.25) 0.25to18sec 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to18sec(incrementsof0.25)

Tsupp: 0.1to0.8sec(incrementsof0.01) 0.25to4secforNIV 0.25to1sec(incrementsof0.05) 1to4sec(incrementsof0.1)

Expiratorytime: 0.25to59.75sec 0.25to29.9secInvasiveventmodes 0.5to59.75secforNIV

Risetime: 0to500msofinspiratoryperiodforeitherfloworpressuredependingonthemodeselected.ActiveinVCV,PCV,PCV-VG,SIMV-VC,SIMV-PC,SIMV-PCVG,BiLevel-VG,NIVandBiLevel(incrementsof50ms)

PSVrisetime: 0to500msofinspiratoryperiodforpressuresupportedbreathsonly.ActiveinSIMV-VC,SIMV-PC,SIMV-PCVG,BiLevel,BiLevel-VG,CPAP/PSVandVG-PS(incrementsof50ms)

Triggerwindow:0to80%ofexpirationtime(incrementsof5%)

Flowtrigger: 0.2to1L/min(incrementsof0.05L/min) 1to3L/min(incrementsof0.1L/min) 3to9L/min(incrementsof0.5L/min)

Pressuretrigger:–10to–3cmH2O(incrementsof0.5cmH2O) –3to–0.25cmH2O(incrementsof0.25cmH2O)

Biasflowrate: 2to15L/min(incrementsof0.5L/min) fornCPAP 2to10L/min(incrementsof0.5L/min) 8to20L/minforNIV(incrementsof0.5L/min)

Control and Ranges (continued)

Minimumrate: 2to60breathsperminuteforVG-PS(incrementsof1breathperminute) 0to60breathsperminuteforCPAP/PSVand0to40breathsperminuteforNIV(incrementsof1breathperminute)

Inspiratory/expiratoryratio: 1:199to40:1inBiLevel 1:9to4:1(ventilatorsetting) 1:79to60:1inBiLevel

Tidalvolumerange: 2to350mL 20to2000mL

Incrementalsettings: 2to50mL(incrementsof0.5mL) 50to100mL(incrementsof1mL) 100to350mL(incrementsof5mL) ForVCV,PCV-VG,SIMV-VC,SIMV-PCVG, VG-PSandBiLevel-VG 20to50ml(incrementsof0.5ml) 50to100ml(incrementsof1ml) 100to300ml(incrementsof5ml) 300to1000mL(incrementsof25mL) 1000to2000mL(incrementsof50mL) ForVCV,PCV-VG,SIMV-VC,SIMV-PCVG andBiLevel-VG

Patientweight: 0.25to1kg(incrementsof0.01kg) 1to7kg(incrementsof0.1kg) 0.5to2lb(incrementsof0.02lb) 2to15lb(incrementsof0.2lb) 5to15kg(incrementsof0.5kg) 15to100kg(incrementsof1kg) 100to200kg(incrementsof2kg) 10to34lb(incrementsof1lb) 34to220lb(incrementsof2lb) 220to440lb(incrementsof5lb)

Inspiratorypressure(Pinsp)range: 1to98cmH2O(incrementsof1cmH2O)

Phigh: 1to98cmH2O(incrementsof1cmH2O)

Plow: Off,1to50cmH2O(incrementsof1cmH2O)

Pressurelimit(Plimit)range: 7to100cmH2OforVCVandSIMV-VC

(incrementsof1cmH2O)

Max.inspiratorypressure(Pmax)limit: 7to100cmH2O(incrementsof1cmH2O) 9-100cmH2O(incrementsof1cmH2O) inNIVandnCPAP

PEEP: Off,1to50cmH2O(incrementsof1cmH2O) 2-15cmH2O(incrementsof1cmH2O) innCPAP 2-20cmH2O(incrementsof1cmH2O)inNIV

EtO2: Low: Off,10to99% High: 11to100%,Off

EtCO2: Low: Off,0.1to14.9%orOff, 0to114.5mmHg

High: 0.2to15%,off or0.5to115mmHg,Off

Ventilationsoftlimitindicators: Whenadjustingselectedventilator

parameters,colorindicatorsshowwhenparametersareapproachingtheirsettinglimits.

Parameterswithsoftlimits: Pmax,PEEP,Pinsp,Psupp,Tinsp,RR,I:E,Phigh,Plow,

ThighandTlow

Alarm System

Escalatingalarms: Highpriorityalarmsescalatetoahigherpitch

ifunattendedforspecifiedtime

Adjustableto: 0,10,20and30sec,Off

Autolimits: Alarmlimitscalculatedonthecurrentmeasuredvaluesforselectedparameters

Procedures

Suction

Programroutine:Automatic

Pre-oxygenation: ≤2minuteswith100%O2with

automaticdisconnectiondetection*

Standbypause: ≤2minuteswithautomaticpatient(re-connection)detection

Post-oxygenation: ≤2minuteswith100%O2*

Note:FIO2canbesettolevelotherthan100%

*Note:5to75%abovecurrentFiO2setting

Manual breath

IntrinsicPEEP(includesPEEPiVolume)

LungMechanics: PØ.1 NIF VitalCapacity

Inspiratoryhold:2to15sec(incrementsof1sec)

Expiratoryhold: 2to20sec(incrementsof1sec)

SpontaneousBreathingTrial(SBT)(Adjustablerange:2to120minutes)

Control and Ranges (continued)

Insp.pause: 0to75%ofinspirationtime(incrementsof5%)

Tpause: 0to7.5sec 0to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to7.5(incrementsof0.25) 0to11sec 0to1sec(incrementsof0.05) 1to4sec(incrementsof0.1) 4to11(incrementsof0.25)

PressuresupportfromPEEPlevel: 0to60cmH2OforSIMV-VC,SIMV-PC, SIMV-PCVG,BiLevel,BiLevel-VGand CPAP/PSV(incrementsof1cmH2O) 0to30cmH2OforNIV(increments of1cmH2O)

Endflowlevel: 5to80%ofpeakflowforNIV,SIMV-VC,SIMV-PC,SIMV-PCVG,BiLevel,BiLevel-VG,VG-PSandCPAP/PSV(incrementsof5%)

Alarm Settings

Tidalvolume: Low: Off,1to345mL Off,5to1950mL High: 3to350mL,Off 10to2000mL,Off

Minutevolume: Low: 0.01to10L/min 0.01to40L/min High: 0.02to40L/min 0.4to99L/min

Respiratoryrate: Low: Off,1to99/min High: 2to150/min,Off 2to120/min,Off

Inspiredoxygen(FiO2): Low: 18to99% High: 24to100%,Off

Pmax: High: 7to100cmH2O 9-100cmH2O(incrementsof 1cmH2O)inNIVandnCPAP

Ppeak: Low: 1to97cmH2O

PEEPe: Low: Off,1to20cmH2O High: 5to50cmH2O,Off

PEEPi: High: 1to20cmH2O,Off

Plimit: 7to100cmH2O

Apneaalarm: Useradjustable: 5to20sec 10to60sec

Circuitleak: 10to90%,Off

FRC INview (optional)Note:NotavailablewhenNeonatalpatienttypeisselected

• FunctionalResidualCapacitymeasurement

– Wash-inandWash-outmethodprovides2separate FRCmeasurements

• FRCdisplayedbothnumericallyandgraphically

• Themostrecent5FRCproceduresdisplayed

• PEEPeandPEEPidisplayedwitheachFRC

• FRCEventLogrecords:

– FRCmeasurements

– Ventilatorsettingsandproceduresthatmayaffectthe FRCprocedure

• Programmabletimeintervalsforautomatic FRCmeasurements

PEEP INview (available with FRC INview)Note:NotavailablewhenNeonatalpatienttypeisselected

• MeasuresFRCatupto5differentPEEPlevels

• GraphicandnumericdisplayofFRCvalues

• UserselectablebeginningandendingPEEPlevels

– VentilatorevenlyspacesadditionalPEEPlevels

– PEEPlevelscaneitherincreaseordecrease

• PEEPeandPEEPidisplayedduringeachFRCmeasurement

Lung INview (available with SpiroDynamics and FRC INview)Note:NotavailablewhenNeonatalpatienttypeisselected

• IntegratesSpiroDynamicsandFRCINviewwithinthe PEEPINviewprocedure

• MeasurestheamountofvolumebetweentheDynostatic curvesateachFRCmeasurement

• Estimateofrecruitmentvolume

INview Vent Calculations (optional) Note:NotavailablewhenNeonatalpatienttypeisselected

DatafromEngströmCarestationandexternallabresultsareusedtoprovidethefollowingvalues:

• PAO2–Alveolarpartialpressureofoxygen

• AaDO2–Alveolararterialoxygendifference

• Pa/FiO2–Oxygenationindex

• PaO2/PAO2–Alveolararterialoxygenpressuredifference

• CO–Cardiacoutput

• Vd/Vt–Deadspaceventilation

• Vd–Deadspacevolume

• VA–Alveolarventilation

Spirometry

Datasource: VentilatororCompactAirwayModule* (M-COV,M-COVX,M-CAiOV,M-CAiOVX;E-COV, E-COVX,E-CAiOV,E-CAiOVX)

Looptypes: Pressure-Volume,Pressure-FlowandFlow-Volume

Savedloop: Uptosixloopscanbesaved

Referenceloop: Asavedloopcanbeselectedasthereferencelooptocomparewiththecurrentloopbeingdisplayed

Cursor: FreezescurrentloopsandprovidesnumericdisplayofXandYaxisascursormovesacrossloops

Pulmonarymechanics: Ppeak,Pplat,Pmean,PEEPe,PEEPi,TVinsp,TVexp,MVinsp,

MVexp,ComplianceandResistance

Auxiliary Pressure

Auxiliarypressure(Paux): Measuredrange:-20to+120cmH2O Alarmrange:12to100cmH2O

Purgeflow: LowflowtoclearthePauxline,canbe turnedOff

SpiroDynamics (optional)Note:NotavailablewhenNeonatalpatienttypeisselected

• TrachealPressure–Volumeloopdisplayed

• DynostaticCurvedisplayscalculatedalveolarpressure

• TrachealpressuremeasuredviaGE’sintratracheal pressuresensor*

–ConnectsdirectlytoEngström’sauxiliarypressureport

• 3pointcompliancemeasurement

– at5-15%ofthebreath

– at45-55%ofthebreath

– at85-95%ofthebreath

• Storeupto6SpiroDynamicloops

• Storeupto6Dynostaticcurves

• Overlayupto2separateloopsand/orcurvesover currentloop

• Cursoravailableacrossalldisplayedloopsandcurves

– Pressureandvolumevaluesdisplayedatcursorposition

• Ppeak,PEEPeandRawdisplayed

*Forcompletespecifications,seeproductspecificationsheets.

Airway Resistance Compensation (ARC)

Note:NotavailableinNeonataloption

Typeofcompensation: Electronictubecompensation

Compensationfor: Endotrachealandtracheostomytubes

Tubediameter: 5to10mm

Levelofcompensation: 25to100%

Mode Families

Allowsuseradjustmenttospecifycertainparametersthatalignwiththehospital’scurrentventilatorusage.

Adjustableparameters: FlowandInspiratorytiming

Family1: FlowcontrolisOn/Insp.TimingisI:EFamily2: FlowcontrolisOff/Insp.TimingisI:EFamily3: FlowcontrolisOn/Insp.TimingisTinspFamily4: FlowcontrolisOff/Insp.TimingisTinspFamily5: FlowcontrolisOn/Insp.TimingisTpause

Ventilator Monitoring

Airwaypressure –20to+120cmH2O

Patientflow 0.1to32L/min 1to200L/min

Tidalvolume 0.5to1,000mLwithNeonatal FlowSensor 1to1,000mLwithouttheNeonatal FlowSensor 5to2,500mL

Minutevolume 0to99.9L/min

CO2 0to30%/0to225mmHg

Compliance 0.1to150mL/cmH2O

Resistance 1to500cmH2O/L/s

RQ 0.6to1.3

VO2 50to1000mL/min

VCO2 50to1000mL/min

Rate 0to150breathsperminute (incrementsof1breathperminute) 0to120breathsperminute (incrementsof1breathperminute)

FiO2 10to100%

RapidShallowBreathingIndex(RSBI) 1to999bpm/L

Note:NotavailableinNeonataloption

Non-Invasive Ventilation (NIV) (optional)

Maskventilation:Yes

Integrateduniqueleakrecognitionalgorithm

Automatic Patient Detection (APD)

Patientre-connection: Automaticdetectioninstandby

Detectionby: BackpressuretoBias-flow

100% O2 ( O2)

Delivers5to75%abovecurrentFiO2settingfor≤2minutes

Delivers100%O2for≤2minutes

CanbeadjustedtootherO2%

Take Snapshot

ImmediatecaptureandstorageofcriticaldatacurrentlyontheEngström’sdisplay

Storeddata: 3waveformsegments Alarmmessages(upto5,currentlyactive) Allmeasuredparameters Allsetventilatorparameters

MaximumstoredSnapshots: 10mostrecent

Cursor: Abilitytocursoracrosswaveforms forspecificmeasuredvalues

Ventilator Preferences

Back-upMode: EstablishesthespecificventilatormodeandparametersusedintheeventthattheventilatorswitchestoBack-upventilation

ARC: Allowscontrolandsettingoftheairwayresistancecompensation

AssistControl: AllowstheusertoturntheAssistControlcapabilityOnorOff

LeakCompensation: AllowstheusertoturntheLeak

CompensationcapabilityOnorOffTriggerCompensation: AllowstheusertoturnOnorOff

compensationforflowtriggeringTVBasedConditions: AllowssettingbetweenATPD(Ambient

TemperaturePressureDry)orBTPS(BodyTemperaturePressureSaturated)

Nebulization

Nebulizer: AeronebNebulizerSystembuilt-in

Nebulizertechnology: Electronicmicropump

Nebulizerruntime:10,15,20or30minutes

Auto-repeatcapability: Cycles:1to10 PauseTime:30secto8hr 1to5minutes(incrementsof1minute) 5to55minutes(incrementsof5minutes) 1to8hours(incrementsof0.5hour)Nebulizervolumesetting: 2.5,3,5or6mL

Particlesize: AeronebPro:average2.1micronsMMAD (MeanMassAerodynamicDiameter) AeronebSolo:3.4micronsMMADResidualvolume: AeronebPro:average0.3mL AeronebSolo:average<0.1mL

Performancemayvarydependinguponthetypeofdrugused.ForadditionalinformationcontactAerogenordrugsupplier.

Pnuematic nebulizer

Flowcompensation: 1to4L/min(incrementsof0.5L/min) 1to12L/min(incrementsof0.5L/min)

Monitor Module

Modulecapacity 4singleslotor2doubleslotmodules

Compactairwaymodulecompatibility M-C,M-CO,M-COV,M-COVX,M-CAiO, M-CAiOV,M-CAiOVX,E-CO,E-COV, E-COVX,E-CAiO,E-CAiOV,E-CAiOVX, M-miniC,E-miniC

Note:TheEngströmCarestationdoesnotutilizetheAi(inhaledanesthesia)featureofthecompactairwaymodulesatthistime.

Note:TheEngströmCarestationdoesnotutilizeanyofthecompactairwaymoduleswhentheNeonatalOptionisinuse.

Trends

Trenddata: Setparametersandmeasureddata

Trendstyles: Measuredandgraphic

Maximumtrending:14days(336hours)

Trendscaling: 12min,1h,2h,4h,6h,8h,10h,12h,24h, 36h,48hand72h

Resolution: 1minuteintervalsformostrecent12hours, 5minuteintervalsfor12to48hours, 30minuteintervalsafter48hours

Mini-Trends: Waveformvaluescanbedisplayed asatrendinasplitscreenview

Oxygen Monitoring

Technology: DynamicParamagneticOxygen monitoringsystem

Lifespan: Unlimitedoperatinglifeduetotheuseof non-depletingtechnology

Screen

Displaytype: 30.5cm/12inchtouchscreenfullcolorLCDadjustableviewingangle

Waveformsinscreen: Threeatatime

Waveformparameters: Pressure,flow,volume,CO2,O2

andauxiliarypressure

Graphicscaling: Automaticscalingforoptimalsizeor independentscaling

Data: Controlparameters,patientdata,alarmsettingsandmessages

Statusindicator: Ventilationmode,batterylevel,clock

Favorites: 23Hyperlinkshortcutstochoosefrom 7selectableatonetime

Monitoring Accuracy**

Pressurereadings:±2cmH20

Volumereadings: ±10%or±1mL,whicheverisgreater (withproximalneonatalflowsensor) ±10%or±5mL,whicheverisgreater (nCPAP) ±10%or±15mL,whicheverisgreaterO2concentrationmonitor: ±3%

Delivery Accuracy**

Inspiredpressurecontrol: ±2cmH2O

Oxygen–Airmixing: ±3%V/Vofsetting

Tidalvolumedelivery: ±10%ofsettingor±1mL, whicheverisgreater (withproximalneonatalflowsensor) ±10%ofsettingor±5mL, whicheverisgreater

**Ventilationdeliveryspecificationsrequirements: •OperatingatEN794andASTMF1100patientconditions •Operatingat21°Candat1000mbarambientpressure •Allvolumesareatambienttemperatureandpressure,dry(ATPD)

Gas supply

Singlegasoperation: Yes

Emergencyairvalve: Built-in

Oxygen supply

Pressurerange: 240to641kPa/35to94psi

Flow: 160L/min

Air supply

Pressurerange: 240to641kPa/35to94psi

Flow: 160L/min

Environmental Specifications

Thermal

Operatingrange: 10°to40°C

Storagerange: –20°to65°C

Humidity

Operatingrange: 15to95%RHNon-condensing

Storagerange: 15to95%RHNon-condensing InaccordancewithIEC68-2-3

Vibration and shock

Randomvibration: 9.5grms@30minunpacked 2to5000Hz

Altitude

Operatingrange: –440to3565m/500to800mmHg

Storagerange: –440to5860m/375to800mmHg

Trends (continued)

Mini-Trendsparametersarebasedonthewaveformdisplayed: Paw(Ppeak,PplatorLeak) Flow(MVexp,RR) Volume(SpontMVorMechMV, SpontRRorMechRR) Paux(Ppeak) CO2(EtCO2) O2(EtO2,FiO2)

External Communications

Communicationports: Serialport(RS-232),RS-485port,RS-422port, 1USBport,Ethernetport,Compactflash cardsocket,nursecall

EView (optional)

DataAvailable: 10snapshots 7daysofventdata Optionalbreathtobreathwaveformdata

Electrical Specifications

Line supply

Linevoltage: 85to132Vac,47/63Hz 190to264Vac,47/63Hz

Powerconsumption: <200W

Battery supply

Back-upbattery:Built-in

Type: Leadacidgel

Batteryback-uptime: 120minutestypical,30minuteminimum, batteryfullycharged

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www.gehealthcare.com/respiratorycare

©2011GeneralElectricCompany–Allrightsreserved.

GeneralElectricCompanyreservestherighttomakechangesinspecificationandfeaturesshownherein,ordiscontinuetheproductdescribedatanytimewithoutnoticeorobligation.ContactyourGErepresentativeforthemostcurrentinformation.

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AeronebisaregisteredtrademarkofAerogen,Inc.

Engström,Carestation,INviewandSpiroDynamicsaretrademarksofDatex-Ohmeda,Inc.

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