BiPAP Synchrony
1. The characteristic (Figure ; Outward appearance photograph of BiPAP Synchrony)
BiPAP Synchiorony is a resuscitator for the patient with the weight of equal to or more than 30 Kg of patients who have a spontaneous-respiration. The (suspected) volume ventilation mode, the AVAPS mode, is loaded into Synchrony and is the difference that "TO" with the other BiPAP series is big. Because the universal dual-current power can be used, it is possible to use by the hospital and the home. A conventional BiPAP series was controlled with the elaborate analog computer but the digital computer control transformed Synchrony. A PC and AVAPS mode and so on were added in the grace and were enriched from the alarm function, too. It was equipped with the modem interface, too. In the home, the dater can be uploaded through the modem. Only, the operation became complicated in exchange with advanced function.
2. The performance
The mode .CPAPSS/TPCTimed Mode
+AVAPS
The taking air quantity of ventilation .200-1,500m
The intake gas flow rate - LPM
Breathing number of times .0-30BPM
The intake time .0.5-3.0 sec.
EPAP. .4-15pH2O
IPAP. .4-30pH2O
The weight .2.7 Kg
The power consumption .AC100-240v 1.25A max. , DC12v 5.5A max.
The battery operating time It doesn't have.
3. The outline of the mechanism
New Mattick is the same as BiPAP S/T almost. The control system became a full digital control. In the volume trigger formula, the trigger sensitivity is 6 ml. The controls such as Shape Signal and Auto-Trak Sensitivity, Spontaneous Expiratory Threshold, the leak revision are the same as the other BiPAP equipment basically.
4. The operation (Figure ; Operating panel of BiPAP Synchrony)
1) The basics
It does all operation with four keys of the up key, the down key, ENTER key and then the RAMP button. The becoming screen-display lights up in on in the backlight when pushing up or a down key. It gets to do the can to operate which in this condition. It wants to establish while it pushes a down key several times and it makes display SETUP screen and seeing a screen-display. It moves a cursor to the item, and it chooses the item resemblance to want to change from the inside to be a parameter, an alarm, a mode, an option from here and it fixes it in the entering, it enters a necessary item and value with the ups and downs key and it fixes them in the entering. These operation is an operating method like the setting of the BIOS screen of the PC.
2) The access level
The access level has two kinds of FULL ACCESS and Lockout. At the time in the condition of the former, it is in the condition that the setting and the feature can be freely operated by the health care worker turning. On the other hand, it becomes Lockout condition when making Lockout YES by the screen setting at the time of the FULL ACCESS condition. As for this condition, by the patient business, the setting can not be selfishly changed and it is possible for the patient to adjust only Rise Time. Way, to return to the FULL ACCESS condition from the Lockout condition, it suppresses the RAMP button and ENTER key at the same time for equal to or more than 1 second. Then, it puts in the SETUP screen.
3)AVAPS
It is the feature which corresponds to VS and PRVC in the place to say in the other company by the feature to control automatically for the IPAP pressure to become a setting air quantity of ventilation when making AVAPS on.
4)RAMP
The function of RAMP is the same as BiPAP S/T.
5)Rise Time
The pressure can change changing speed into IPAP from EPAP when controlling this. It is displayed at the relative value. It is possible to set in the range of 1-6.
6) The patient circuit (Figure ; Patient circuit of BiPAP Synchrony)
It was shown in the figure.
5. The monitor, the alarm
It is equipped with the alarm which is an anaerosis, high pressure, low pressure, low pressure support, a low expired volume per minute, a low taking air quantity of ventilation, electric power disappearance, the miss of the patient circuit.
6. The maintenance (Figure ; Rear-panel of BiPAP Synchrony)
It does a feature check regularly. Also, it does the check, the exchange of the filter. It does maintenance regularly.
7. The fault
1) It became a digital control and it became multifunction but it is poor in the interface of the operation. Because it sets while the operation pushes an ups and downs key and ENTER key many times while seeing a small liquid crystal panel, it has the complication that to access an item for the purpose only, too, pushes a key many times. It is more because the still wasteful operation becomes need when not learning a menu item.
2) Because the cancellation from the Lockout condition is the combination of the simple key (It is easy for a way of canceling to be guessed because the setting of the digital clock, digital watch of the marketing and so on can be elaborate, resemble and are a way of being similar) , There is danger which has been changed, being naughty and anxious for it. The access code and the password entry are more relieved.
3) There is not Japanese in the menu display by the display.
4) Possible in the case which it is difficult to use because the upload feature by the modem is unsuitable in the times of the Internet and the IP phones such as the present ADSL There is possibility that the trouble occurs with the setting of a modem and the affinity, the contact failure in the joint and so on. Because modem itself is a cheaply for the PC marketed part, he will should come equipped to the main unit. To make an upload feature practical use, it will should have an adapter for the LAN, too.
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