Clinical Quick Start Guide

Transcription

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2 CSN offers mechanical entilation, xygen, Cough, Suction, and Nebulizer therapies in one compact, portable, lightweight device. This Quick Start Guide is intended to provide a high-level overview of CSN use, and does not contain all the information required to operate CSN safely. For detailed instructions for use, see the Clinicial and Technical Manual, available online at enteclife.com. Critical Care entilator CSN brings next-generation technology, breathing comfort, and ease of use to ventilator patients. ENTILATIN xygen Concentrator capable of 6 L/min 2 The CSN internal oxygen concentrator and xygen Direct TM system deliver the equivalent of 6 L/min of oxygen. External oxygen sources can be connected when needed. XYGEN Touch Button Cough Touch Button Cough TM therapy can be activated in seconds, without changing the circuit. CUGH Hospital Grade Suction The quiet hospital-grade suction system is easy to transport. SUCTIN High Performance Nebulizer CSN compensates for nebulizer flow, records each medication use, and turns off the nebulizer when the therapy is complete. NEBULIZER

3 Table of Contents Quick Start Guide CSN Hardware verview CSN Software verview Night Mode and Day Mode Clinician Access Permissions Enable Prescribed Therapies Settings Buttons Exit Buttons Powering CSN CSN Placement Connecting a Patient Circuit Connecting and Removing a Bacterial Filter Mouthpiece Patient Circuits Active, Passive, and alveless entec ne-circuits Connecting a entec ne-circuit 2 Tube Connecting an Active entec ne-circuit Multilumen Tube The Pre-Use Test Changing entilation, xygen, or Cough Therapy Controls Setting entilation and xygen (Fi2) Alarms Responding to Alarms Connecting a Nurse Call System or Remote Alarm xygen Setup Connecting External xygen High-Pressure xygen Low-Pressure xygen Suction Therapy The CSN Suction Cap and Travel Suction Canister Suction Controls Nebulizer Therapy Connecting a Nebulizer Cup Nebulizer Controls CSN Therapy Interactions xygen Therapy Pauses with Nebulizer or Suction CSN Controls Setup enteclife.com 1

4 CSN Hardware verview Description 1 Touchscreen 13 Handle 2 Speaker 14 Cooling air outlet and Cough therapy exhaust 3 Alarm Silence button 15 High-pressure 2 input port 4 External Power / Charge Status indicator light 16 Low-pressure 2 input port 5 n/standby button and indicator light 17 Remote alarm or Nurse Call Cable port 6 Removable, rechargeable battery 18 USB ports for use by trained service technicians only. Do not use the CSN USB ports. 7 Active exhalation valve connection port 19 Cooling air intake and filter 8 entec ne-circuit 2 tube connection port 20 Power connection port 9 Nebulizer drive port 21 Patient air inlet and filter 10 External bacterial filter and entec ne-circuit connection port 22 Removable, rechargeable battery 11 Handle 23 Cooling air outlet 12 Cooling air outlet 24 Suction canister cap (protects and covers suction interface) 25 T-Slot mount 2 enteclife.com

5 CSN Software verview Link to Active and Recent Alarms Active Therapies Clinician Access Status Power Status Pressure Monitor Navigation Links Home Therapy Monitors Menu ENTILATIN XYGEN CUGH SUCTIN NEBULIZER Links to CSN Therapy Screens Night Mode and Day Mode You must use the Home screen to change between Night Mode and Day Mode. 1 Press NIGHT MDE to dim the LCD display. 2 Press DAY MDE for full screen brightness. Home 15BPM BREATH RATE Therapy 430mL TIDAL LUME Monitors Preset 1 ENT PRESET Menu NIGHT MDE NIGHT MDE DAY MDE enteclife.com 3

6 CUGH NEBULIZE N Clinician Access To lock or unlock CSN: 1 Press CLINICIAN ACCESS in the Menu tab. 2 Enter the four-digit Clinician Access passcode for the device, and then press ACCEPT. NTE: Each CSN has a unique Clinician Access passcode. The passcode is the last four digits of the device serial number. This number is printed on the CSN back label. It is also visible from the Service section of the MY CSN screen. To enable or disable the Clinician Access feature: Home PRE-USE TEST CLINICIAN ACCESS Therapy & ALARMS Monitors DEICE Menu LGS i MY CSN Home PRE-USE TEST CLINICIAN ACCESS Therapy & ALARMS Monitorsor Please enter Click passcode K to enter Clinician for clinician access Access mode. DEICEE Menu CANCEL 8 9 0LGS i ACCEPT MY CSN 1 Press DEICE in the Menu tab. Home Therapy Monitors Menu 2 Press edit, and then change the UNLCK REQUIRED? control to Yes or No. NTE: If the UNLCK REQUIRED? control is set to No, all CSN controls will be configurable by any CSN user. When set to Yes, controls set to Clinician nly in the PERMISSINS screen will be locked. See below for more details. PRE-USE TEST CLINICIAN ACCESS & ALARMS CUGH S ENABLE PRESCRIBED THERAPIES DEICE R X PERMISSINS LGS i MY CSN PRESCRIPTINS INSUFFLATIN TIME ALARM LUME PRESET DEICE seconds Medium DATE TIME 02:32 PM PRESET 2 CALIBRATE TUCHSCREEN UNLCK REQUIRED? Yes EDIT Permissions Using the Permissions feature, CSN can be locked so that a Clinician Access passcode is required to change some controls. To configure which controls are locked until a passcode is entered, first press PERMISSINS in the Menu tab. CIRCUIT TYPE MDE ENTILATR PERMISSINS CUGH PERMISSINS User and Clinician Clinician nly NEBULIZER PERMISSINS Then, use the toggles for each control group to configure whether the controls are accessible at all times (User and Clinician), and which require a Clinician Access passcode to modify (Clinician nly). HUMIDIFICATIN BREATH RATE INSPIRATRY TIME User and Clinician User and Clinician User and Clinician 4 enteclife.com

7 CUGH NEBULIZE N Enable Prescribed Therapies Press the ENABLE PRESCRIBED THERAPIES button to enable or disable CSN therapies such as the internal 2 Concentrator, Cough, Suction, Nebulizer, and/or the Fi 2 Monitor. This feature allows clinicians to enable a suite of therapies appropriate for the patient condition, and disable others. NTE: The Enable Prescribed Therapies menu button is only available when CSN is in Clinician Access mode. Home PRE-USE TEST CLINICIAN ACCESS Therapy & ALARMS CUGH S ENABLE PRESCRIBED THERAPIES Monitors DEICE R X PERMISSINS Menu LGS i MY CSN Settings Buttons When it appears, the (or & ALARMS) button will provide access to therapy configuration controls. Prepare patient circuit for Cough therapy, select preset, and press START to begin. LW -30 / +30 cmh2 Cough+Suction MEDIUM -35 / +35 cmh2 HIGH -40 / +40 cmh2 STP START THERAPY Exit Buttons CSN software has two types of buttons. Use these buttons to exit the current screen and navigate to other parts of the CSN software. Inside therapy screens, the button appears as a back arrow on the left-hand side of the screen. Prepare patient circuit for ventilation, select preset, and press START to begin. DAY NW ACTIE NIGHT AC-PRES MBILE SIM-PRES & ALARMS ACTIE START NW When navigating configuration screens, the button will appear as a tab in the upper left-hand corner. L H DAY MBILE NIGHT MDE PRESS T EDIT CIRCUIT TYPE TIDAL LUME Active 450 ml PRESS T EDIT BREATH RATE INSPIRATRY TIME PEEP SIGH 20 BPM 1.0 seconds 10 cmh20 FF EDIT enteclife.com 5

8 Powering CSN Whenever possible, connect CSN to an external source of continuous power. To connect the AC Adapter, plug the power supply into the power connection port in the back of CSN, and then plug the power supply into a power socket, such as a wall outlet. erify the external power indicator ( ) appears on the touchscreen. 1 2 CSN comes with two removable, rechargeable batteries, and one internal battery. Depending on your settings, these three batteries may power CSN for up to nine hours. The battery icons in the status bar show the power remaining in each removable battery (left and right side), and in the internal (center, upright) battery. A lightning bolt indicates the battery is charging. To remove a battery, lift the battery tab until it clicks out of place. Then, use the tab to gently pull the battery from the well from the top. 1 2 To install a battery, place the base of the battery into the well first, and then press the top of the battery into the well. Press the battery tab down until it clicks into place. The tab should be flat against the battery. 1 2 CSN Placement Do not block CSN air inlets and vents. Do not operate CSN on its back or on compliant bedding, which may obstruct the airflow around it. Do not cover CSN with towels or other materials. CSN should be placed in a well-ventilated area, free of airborne pollutants, contaminants, and fumes. ver time, direct sunlight may compromise the integrity of CSN plastic housing or the entec ne-circuit. Place CSN in a location that is not exposed to extended periods of direct sunlight, and ensure the environment is within the recommended range of temperature, altitude, and relative humidity for CSN. 6 enteclife.com

9 Connecting a Patient Circuit CSN may be connected to various circuit types available from entec Life Systems: a Mouthpiece, Active, Passive, or alveless entec ne-circuit. Connecting and Removing a Bacterial Filter To connect a filter fit it against CSN, aligning the tabs on the filter and CSN. Then, firmly twist the filter clockwise to lock it into place. 2 To remove a filter, firmly push in on the filter toward CSN and then twist it counterclockwise, aligning the tabs on the filter and CSN. Then, pull the filter to remove it. 1 Mouthpiece Patient Circuits Connect the Mouthpiece Circuit Kit components in the order depicted below. 1 Reducer cuff mm circuit tubing (one piece) 3 ptional Mouthpiece Circuit Support Arm, available separately 4 Coupler Flexible extension (optional) 6 Angled mouthpiece CSN enteclife.com 7

10 Active, Passive, and alveless entec ne-circuits Connect patient circuit components in the order depicted below. For additional information, see the CSN Clinical and Technical Manual, available online at enteclife.com. CSN CSN BACTERIAL FILTER HUMIDIFIER BYPASS (required for Cough) C (optional 2 tube) PATIENT CIRCUIT (optional heated wire) HME or HUMIDIFIER (choose one) NEBULIZER (optional) N SECRETIN TRAP (optional) C S PATIENT INTERFACE or Item Name Required? Additional Information CSN Bacterial Filter entec Humidifier Bypass Required Required for using Touch Button Cough therapy with a connected humidifier See Connecting and Removing a Bacterial Filter on page 7 for instructions. The entec Humidifier Bypass prevents water damage to CSN during Cough therapy. Humidifier ptional Include a form of humidification (either an HME or humidifier). Active, Passive, or alveless entec ne- Circuit Heat-Moisture Exchanger (HME) Required ptional Use either an active, passive, or valveless entec ne-circuit. entec ne-circuits may include an integrated 2 tube for xygen Direct therapy and/or a heated wire. Active entec ne- Circuits include flow sensor tubing. Include a form of humidification (either an HME or humidifier). Nebulizer ptional Connect a nebulizer to the nebulizer drive port. entec Secretion Trap ptional Connect a entec Secretion Trap, using suction tubing, to a suction canister. Patient Interface Required Examples of a patient interface include a mask or tracheal tube. entec ne-circuits include an exhalation valve and are intended for use with non-vented masks. 8 enteclife.com

11 Connecting a entec ne-circuit 2 Tube If your entec ne-circuit has an integrated 2 tube, connect the 2 tube to the oxygen output port on the right side of CSN. Fit the connection adapter around the port securely. ACTIE 2 NEBULIZER 6 L/min Connecting an Active entec ne-circuit Multilumen Tube Fit the oval connector tube into place in the Active connection port. Then, fit the connecting screw cap over the port and twist it clockwise until it is firmly secured. ACTIE 2 NEBULIZER 6 L/min enteclife.com 9

12 The Pre-Use Test To ensure therapy is delivered accurately, you must perform a Pre-Use Test whenever prompted, the patient circuit is changed, or the device is powered on. NTE: Though accuracy may be reduced, CSN may still be used to provide ventilation therapy without running the Pre-Use Test. If time constraints make running the test inadvisable, press the button to immediately initiate entilation therapy. The CSN Pre-Use Test calculates the resistance and leak of the entec ne-circuit. Based on these calculations, CSN verifies the integrity of the entec ne-circuit, and also improves the accuracy of therapy. If used, the Pre-Use Test will also verify the connection status of the entec ne-circuit 2 tube. NTE: If entilation therapy is critical to patient care, provide the patient with backup ventilation prior to initiating the Pre-Use Test. Some control changes cause CSN to prompt you to run a Pre-Use Test. You may also press the Menu tab and then the PRE-USE TEST button to begin a Pre-Use Test at any time. To run a Pre-Use Test, carefully follow the on-screen instructions. When instructed, use a clean, gloved hand to obstruct the circuit completely, as follows: PRE-USE TEST If you are using an Active or Passive entec ne-circuit, block it at the exhalation valve. If you are using alveless entec ne-circuit, disconnect the mask to run the test, and bypass this leak portion of the Pre-Use Test. Leak in the patient circuit will be calculated and compensated for during use. If you are using a mouthpiece patient circuit, leave the mouthpiece connected, and block the open end. If the test completes successfully, reconnect the entec ne-circuit to the patient and resume entilation therapy. If the test fails, inspect the entec ne-circuit configuration for leaks or improper setup. Resolve any issues with the entec ne-circuit, and then press RESTART to run the Pre-Use Test again. 10 enteclife.com

13 Changing entilation, xygen, or Cough Therapy Controls Press the Therapy tab, and then the entilation, Cough, or xygen icon, depending on which therapy you want to configure. 1 To configure a Preset, select it and then press the (or & ALARMS) button. NTE: Any of the three available Presets can be configured by pressing the Preset tabs along the top of the configuration screen. 2 Scroll to the control you want to modify, select it and then press the EDIT button on the right side of the blue selection bar. NTE: Note that the MDE, CIRCUIT TYPE, and LUME TARGETED ventilation controls cannot be modified while a Preset is active, and will appear in gray. If additional controls appear in gray, the Clinician Access passcode must be entered on the Menu screen before they can be modified. 3 Enter the new selection and then press ACCEPT to confirm the change. L H MDE CIRCUIT TYPE TIDAL LUME BREATH RATE INSPIRATRY TIME PEEP SIGH Prepare patient circuit for ventilation, select preset, and press START to begin. DAY NW ACTIE DAY Active 450 ml 20 BPM 1.0 seconds 10 cmh20 FF NIGHT AC-PRES NIGHT MBILE SIM-PRES ACTIE START NW MBILE PRESS T EDIT PRESS T EDIT & ALARMS L H MDE CIRCUIT TYPE TIDAL LUME BREATH RATE INSPIRATRY TIME PEEP SIGH L H DAY Active 450 ml 20 BPM 1.0 seconds 10 cmh20 FF NIGHT EDIT MBILE PRESS 5 T EDIT 6 PRESS T EDIT 7 CANCEL EDIT ACCEPT 4 When configuration is complete, press the tab along the top of the screen. MDE CIRCUIT TYPE TIDAL LUME BREATH RATE INSPIRATRY TIME Active 450 ml 20 BPM 1.0 seconds PRESS T EDIT PRESS T EDIT EDIT DAY NIGHT MBILE 5 Activate or switch between configured presets at any time by selecting the appropriate Preset and then pressing START. PEEP SIGH 10 cmh20 FF Prepare patient circuit for ventilation, select preset, and press START to begin. NTE: Use the Home or Monitors tab to view monitored information about the delivered entilation therapy. DAY NW ACTIE NIGHT AC-PRES MBILE SIM-PRES ACTIE START NW & ALARMS enteclife.com 11

14 Setting entilation and xygen (Fi 2 ) Alarms For a description of all available alarms and their settings, see the Clinical and Technical Manual, available online at enteclife.com. 1 To configure a Preset s alarms, press the & ALARMS button. Prepare patient circuit for ventilation, select preset, and press START to begin. 2 Alarms are configured like controls, using the EDIT button in the blue bar. DAY NW ACTIE NIGHT AC-PRES MBILE SIM-PRES ACTIE START NW & ALARMS 3 If the alarm includes a Low and High setting, select the L icon to adjust the Low alarm setting. Press the H icon to adjust the High alarm setting. FF N PRESET 1 PRESET 2 CIRCUIT DISCNNECT APNEA PEAK INSP. PRESSURE TIDAL LUME N 30 seconds 3 cmh2 300 ml 17 cmh2 900 ml H PRESS 5 T EDIT 6 PRESS T EDIT HL 0 L CANCEL ACCEPT 4 If necessary, use the N/FF toggle to turn the alarm N. Then use the keypad to enter the desired setting. MINUTE ENTILATIN 6 L/min 9 L/min FF N PRESET 1 PRESET 2 CIRCUIT DISCNNECT APNEA PEAK INSP. PRESSURE N 30 seconds 3 cmh2 17 cmh PRESS 5 T EDIT 6 PRESS T EDIT TIDAL LUME 300 ml H 900 ml HL 0 L CANCEL ACCEPT 5 Press ACCEPT to confirm the new alarm settings. NTE: The High Pressure Delay and Patient Circuit Disconnect alarm settings can be used to help reduce nuisance alarms. MINUTE ENTILATIN 6 L/min 9 L/min FF N PRESET 1 PRESET 2 CIRCUIT DISCNNECT APNEA PEAK INSP. PRESSURE TIDAL LUME N 30 seconds 3 cmh2 300 ml H 17 cmh2 900 ml L MINUTE ENTILATIN 6 L/min 9 L/min PRESS 5 T EDIT 6 PRESS T EDIT HL 0 CANCEL ACCEPT 12 enteclife.com

15 Responding to Alarms To view the CSN Alarm Log, press the alarm banner in the status bar, or press the Menu tab, and then the LGS button. The most recent alarms are listed at the top of the page. Active alarms will appear with a red (high-priority), yellow (medium-priority), or blue (low-priority) banner. To clear the list of all but the active alarm conditions, press the CLEAR LIST button from the Alarm Log screen. Information about the alarm will also be stored in the CSN Event Log, which cannot be deleted. To inactivate and reactivate alarm signals, use the Alarm Silence button on the front of CSN. LGS Connecting a Nurse Call System or Remote Alarm The remote alarm port is behind a protective rubber flap on the back of CSN. This port may be used to connect a remote alarm, a nurse call system, or other alarm systems that sense contact closure through a 1/4 phono jack. nly use the remote alarm port with entec Nurse Call cables or other cables approved by entec Life Systems. Follow all setup instructions provided by the remote alarm or nurse call system manufacturer. Always test the alarm immediately after installation, and periodically during use to ensure it is functioning as intended. enteclife.com 13

16 xygen Setup xygen Direct therapy may be delivered from the internal 2 Concentrator in Pulse Dose mode (through an integrated oxygen tube inside the patient circuit). The internal 2 Concentrator will deliver the equivalent of up to 6 L/min of oxygen without connecting an external oxygen source. With external high-pressure oxygen connected, xygen therapy may be delivered as either a Pulse Dose or Fi 2. Additive low-pressure oxygen may also be used. Connecting External xygen High-Pressure xygen External high-pressure oxygen sources can be connected to CSN to provide xygen therapy in either Pulse Dose or Fi 2 mode. Low-Pressure xygen External low-pressure oxygen sources can be connected to CSN to add oxygen into the entec ne- Circuit. xygen from a lowpressure oxygen source is additive, and can be used in conjunction with oxygen from the internal 2 concentrator or an external high-pressure source. The flow of low-pressure oxygen is controlled by the oxygen source, not by the CSN oxygen controls. 14 enteclife.com

17 Suction Therapy The CSN Suction Cap and Travel Suction Canister The entec Travel Suction Canister has a 300 ml capacity. If the canister fills above the 300 ml line on the canister (just below the blue knob), a hydrophobic filter will activate. This filter stops Suction therapy and prevents liquids from entering CSN. Unlock and lock the CSN Suction Cap by twisting the cap. Lock and unlock the entec Travel Suction Canister by twisting the blue knob. The lock and unlock knob positions are printed on the front of the cap and canister. The canister knob must be in the unlock position to reattach the canister to CSN. nce reattached, twist the knob to the Lock position to secure the canister in place. CSN Connect 1/4 suction tubing by fitting its connector firmly over the suction connection port in the top of the canister. Then, connect the other end of the tubing to a suction interface, such as an open-suction catheter (shown below), a entec Secretion Trap, or a closed-suction catheter in the patient circuit. To empty the canister, disconnect it (by twisting the knob to the Unlock position). nce away from CSN, twist the knob coutnerclockwise to the dot position to pull the knob out of the canister and empty its contents. Lock to Suction Unlock to Connect and Remove Remove Knob to Empty CSN enteclife.com 15

18 Suction Controls NTE: xygen therapy is paused during Suction therapy. See CSN Therapy Interactions on page 18 for more information. Press the Therapy tab, and then the Suction icon. Use the + and - buttons to adjust the ACUUM control. Whenever the Suction therapy screen is accessed, or the Cough + Suction feature is activated, the ACUUM control will reset to its default setting. To adjust the Suction therapy default, adjust the ACUUM control using the + and - buttons, and then press the SET DEFAULT button at the desired default setting ACUUM mmhg 4 0 inhg 50 0 mmhg SET DEFAULT STP START THERAPY When the control is set appropriately to provide Suction therapy to the patient, press the START button to begin therapy. erify there are no leaks and that Suction therapy is functioning as intended by occluding the suction tubing or attached catheter with a clean, gloved hand. bserve the suction monitor (indicated by the solid fill inside the arc) and verify it matches the set vacuum value (displayed as a numeric value inside the arc, and a black line). NTE: nce the START button is pressed, Suction therapy may take up to 5 seconds to begin. 16 enteclife.com

19 Nebulizer Therapy NTE: xygen therapy is paused during Nebulizer therapy. See CSN Therapy Interactions on page 18 for more information. Connecting a Nebulizer Cup To connect a nebulizer cup to CSN, install the nebulizer cup between the exhalation valve and patient interface. If an HME is used, connect the nebulizer cup between it and the patient to prevent the HME from trapping nebulized material. Then, connect the nebulizer cup tubing to the CSN nebulizer drive port (the right-most port). entec ne-circuit HME (optional) Nebulizer Cup 1 CSN ACTIE 2 NEBULIZER 6 L/min 2 Nebulizer Controls Press the Therapy tab, and then the Nebulizer icon. CSN Nebulizer therapy will run for the set nebulizer duration, and then stop automatically. Use the + and - buttons on the MINUTES control to set the desired duration. To begin therapy, press the START button. Nebulizer therapy may be stopped any time using the STP THERAPY button NEBULIZER DURATIN N mins STP THERAPY MINUTES 15MIN NEBULIZER MINUTES REMAINING enteclife.com 17

20 CSN Therapy Interactions nly one of the following therapies can be delivered at a time: xygen, Suction, or Nebulizer. The following table describes how starting a therapy affects other CSN therapies: NTE: It may take up to 5 seconds for a therapy to begin after pressing the START button. Home Therapy Monitors Menu Effect of Starting Another Therapy: START ENTILATIN XYGEN CUGH SUCTIN NEBULIZER Running Therapy: xygen (Pulse Dose) xygen (Fi2) xygen (Ext. Low- Pressure) Cough Suction Nebulizer entilation Paused (automatically resumes) xygen (Pulse Dose) N/A Ended Paused (automatically resumes) Paused (automatically resumes) Paused (automatically resumes) xygen (Fi2) Ended N/A Paused (automatically resumes) Paused (automatically resumes) xygen (Ext. Low- Pressure) Controlled by xygen Source N/A C Cough N/A N/A N/A with Cough + Suction feature N/A S Suction Ended Ended N/A Ended N Nebulizer Ended Ended Paused (automatically resumes) Ended N/A xygen Therapy Pauses with Nebulizer or Suction Because xygen is paused during Nebulizer and Suction therapies, the following approaches may be used to maintain patient oxygenation, if it is critical to patient care: Use an external nebulizer or suction machine to provide the therapy. When using an external nebulizer, this approach may require setting the High Minute olume alarm higher for the duration of the treatment. Use an external source of low-pressure oxygen during Nebulizer or Suction therapy. Low-pressure oxygen flowing through CSN and into the patient circuit is not controlled by CSN xygen therapy settings and is additive. An external low-pressure oxygen source may be used for the duration of CSN Nebulizer or Suction therapy to maintain adequate patient oxygenation. 18 enteclife.com

21 CSN Controls Setup entilation Control Preset Label Mode Patient Type (Adult or Pediatric Circuit) Humidification (Humidifier or HME) Circuit Type (Active, Passive, or Mouthpiece) Breath Rate (or Backup Rate) Inspiratory Time olume Targeted (n or ff) Tidal olume Flow Trigger Pressure Control entilation Setting entilation entilation Alarm Setting Preset 1 Preset 2 Preset 3 Alarm Preset 1 Preset 2 Preset 2 Preset Label Apnea Alarm Low Breath Rate Alarm High Breath Rate Alarm Low Minute olume Alarm High Minute olume Alarm Low Inspiratory Pressure Alarm High Inspiratory Pressure Alarm High PEEP Alarm Low PEEP Alarm Patient Circuit Disconnect Alarm Delay Pressure Support High Pressure Delay IPAP Cough Cough Setting PEEP or EPAP Control Preset 1 Preset 2 Preset 3 PC Flow Termination Preset Label Flow Cycle Insufflation Pressure Time Cycle Rise Time Leak Compensation Sigh Apnea Rate xygen Controls and Alarms Preset Label xygen Source xygen therapy (in L/min or Fi2) Low Fi2 Alarm High Fi2 Alarm xygen Settings Exsufflation Pressure Insufflation Time Exsufflation Time Pause Time Insufflation Rise Time Cough Cycles Preset 1 Preset 2 Preset 3 Breath Sync Cough + Suction Suction and Nebulizer Controls Suction (acuum in mmhg) Nebulizer (Duration) Suction and Nebulizer Settings enteclife.com 19

22 About entec Life Systems entec Life Systems is redefining respiratory care to improve patient outcomes and reduce caregiver challenges in the hospital and home. entec s leading product, CSN, seamlessly integrates five separate devices including a ventilator, oxygen concentrator, cough assist, suction, and nebulizer into one unified respiratory system. The team s history of patientcentric design brings care changing innovations to life for patients, medical professionals, and caregivers. For questions about CSN: enteclife.com info@venteclife.com MY-CSN enteclife.com LBL Rev B Copyright 2017, entec Life Systems Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.