Respironics
ESPRIT
1. The characteristic (Figure ; Outward appearance photograph of ESPRIT)
It was the Respironics Inc. which established low invasiveness artificial breathing in the BiPAP series but it is ESPRIT that appeared as usual resuscitator. It is the structure which provided an exhalation-valve for BiPAP Vision but it is possible to do a low invasiveness artificial respiration, too, of course. The eye target which laid down an exhalation-valve is in the reduction of the oxygen demand and the reduction of the noise.
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2. The performance
1) The mode that it is possible to use
A/C (VCV, PCV)
SIMV(VCV, PCV)+ PSV
CPAP(PSV)
S/T(NIPPV)
S(NIPPV)
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Flow trigger
+PEEP
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2) This proximal dater
The maximum intake gas flow rate
The active-ventilation .140LPM
PSV. .200LPM
The number of the maximum active-ventilations 80BPM
The maximum SIMV number of times .80BPM
EPAP. .2-25cmH2O
IPAP. .2-35cmH2O
The intake time 0.1-9.9 seconds
The battery drive time It operates for about 30 minutes when attaching an option battery.
3. The outline of the mechanism
It is not the method which controls a direct intake gas flow rate in the number of rotations of the turbine like T Bird and it is the method which does the gas which was pressurized by the blower in the flow control at the intake valve and creates intake gas. Therefore, it is possible to think as the resuscitator and the similarity of the compressor internal organs but the more low noise of the blower in the clarifying The maximum-inspiratory-pressure which can be generated, too, is enough as 100cmH2O. By the example, the structure of the detail isn't published.
4. The new Mattick circuit (Figure ; Structure elucidation figure of ESPRIT)
Only a drawing with this empty degree is published. It becomes the structure which attached an exhalation-valve to BiPAP. An exhalation-valve is protected with the heating filter.
5. The control software
1) The trigger formula
Pressure trigger (0.1-20 cmH2O) or float rigger (0.5-20 LPM) can be chosen. But, in the NIPPV mode, it is only a float rigger. The base flow is trigger sensitivity + 3LPM.
2)A/C
VCV or PCV can be chosen. VCV can choose a dwindling wave or a square wave.
3)SIMV
The trigger window is a variable-time method.
4)PSV
The intake flow rate is equal to or less than 10-40% of the peak rate of flow to the end-of-suction end recognition condition.
5)Rise Time
It is possible to choose in the range in 0.1-0.9 seconds.
6) Battery drive
It operates for about 30 minutes with the battery of the option. But, it fluctuates with the setting condition. If not needing the addition of oxygen, the oxygen plumbing is unnecessary.
7) The anaerosis back-up
It operates when detecting an anaerosis in 10-60 seconds. The alarm operates now and ventilates in beforehand set Apnea rate.
6. The operating method (Figure ; Operating panel of ESPRIT)
The operation chooses an item in the touchpanel, chooses value by the rotary knob and it fixes it with the entry key. With the mode setting screen, it chooses A/C, SIMV, CPAP being "DUREKA" and it prefers the kind of the active-ventilation to the inside of VCV, PCV, NPPV. (Figure ; Setting screen of ESPRIT) It sets value by the more necessary parameter, the alarm on it.
7. The alarm function
1) The alarm condition
There are normality, advanced urgency (red's blink), an urgent (the yellow and the pale yellow blink) condition of the inside and the low-level.
2) The alarm item
The airway pressure upper limit, the low inspiratory-pressure, the low PEEP pressure, the tachypn ea, the low expiration expired volume per minute, the high expiration expired volume per minute, the low compulsion taking air quantity of ventilation, the low voluntary taking air quantity of ventilation, "NADOGAARU"
8. The display feature
An airway pressure is always displayed with the bargraph and the small graphic. Measured data [ can be displayed with Patient Data (figure ; dater display-screen of ESPRIT), the monitor screen (figure ; pressure display-screen of ESPRIT).
9. The maintenance
1) The touchpanel
It cleans a touchpanel in soft Nuno. It is careful so as not to wet never the panel bottom tip.
2) Sir of Fluothane of the side of the expiration and the exhalation-valve (Figure ; Exhalation-valve and filter of ESPRIT : (1)heated expiratory bacteria filter, (2)knob, (3)retaining bracket, (4)tabs, (5)heater housing, (6)receiving compartment, (7)filter input port)
There is not need of the resolution, the wash, the sterilization in homely use because these are had in this interior of the body and are protected with the heating filter. Pay attention to the ambustion because it switches off the power and the residual heat of the heater is left within 15 minutes.
3) The daily life
The filter kind can only be an autoclave. The filter of the side of intake, the filter of the side of the expiration check the existence or non-existence of the damage, the existence or non-existence, the resistance of the blockade daily and it exchanges them if necessary.
4) 250 hours
It cleans an air inlet, "HUANHUIRUTA-".
5) 10,500 hours
It receives a check, a maintenance by the service.
10. The fault
1) It is poor in the graphic monitor feature.
2) In sale, because the resuscitator which can do NIV, too, was increased at present, there is anyway not inevitability which chooses this equipment specially.
3) It is quite moved in the disturbance boiling because there is little front panel area but it has the depth of the machine of it.