ACOMA UN eA LO) A highly compact and mobile unit designed to handle the most delicate | respiration requirements while ensuring \ the utmost in patient safety. Mancow mOCATET cou.(CAT. NO, 207-2040 Usizing the latast ME design tech." = niques, Acoma engineers have real- ized a wide functioning instrument with numerous patient safety devices, yet featuring high reliabil- ity and simple operation for the ul- ‘timate in patient care. ICV-60 is a microprocessor-controiod ventilator which has been developed ax Clusively for use with infants, including premature newborns, ‘The equioment has been designed un- dor serupulous technical care to meet the prompt and precise delicate and diverse requtements of patent venti- lation, In addition to ts highty accurate and sophisticated. functions, it provides ‘many innewativa advantages a5 wal as ‘economical operating efficiencyFEATURES Flow generator employing time ‘yciing system UE ratio is automatically caleulatod once respiratory rete end inspiratory time values have been preset. All the user reed do next is to set desired tidal volume to obiain time cycling venti= lation, As the equipment also incorporates ‘Acome's unique mechanism t0 rain tain stable constant flow, even if 8 ‘change in prossur inside the citult oc> ‘cus, the flow remains stead ‘Multi-functional to cover a wide range of needs, Such diverse functions as CMV, IMV, Plateau, Sigh (manual), PEEP/CPAP, and ZEEP, among others are available, Inspiratorylexpiratory _flow- ‘separating system rationally controls respiratory resistance ‘as well as offering economic operational efficiency. ‘The ICV-60 is designed so that the ex- piratory and inspiratory phase flows are routed soparatly. Fach rate can then be preset independently to the most Suitable level. In the expiratory phase, the gas controlsg ata proper flow rate ‘moves into tha reserve bag ina constant flow. Accordingly, for spontaneous breathing, sufficient demand flaw can bbe supplied without excess effort and Lnder the lowest inspiratory resistance. Furthor, the sysiom is so designed that the gas flew is cutoff n the inspiratory phase, avoiding the danger of the reserve bag inflating excessively, while Not inereasing respiratory resistance during the expiratory phase. With this rationalized system, the equip- ment greatly relieves the burden on the Patient and aliminates gas waste, thus as raising the unit's operational aco- omic efficiency ] Extromay sings operaton To prevent the dangers caused by or- roneous operation, all operating controls and indicators are arranged for con- venient, quick and easy use and obser vation. Moreover, the precision control system enables accurate setting and adjustment without fal Monitoring and alarm mecha- riisms support reliability Change in the patient's condition, as \well as watching equipment and gas supply status, plus discerning ary ab- normality canbe promptly caught Monitor mechanisms (1) Max, min. and mean valuas inside the cicuitduring a single breath can be easiy digitally indicated by dopressing the selector button. Aso, instantaneous analogue values aro constantly shown, (2) minute amount of gas flow is ‘generated within the circuit pressure ‘detector section to prevent ertor due to dew condonsation or ivasion of ‘moisture within the instrumentation ise. (GIVE ratio can be automaticaly cigital- Iy indicated by simpiy setting the Tespiratory rate and inspiratory time dials (41 Tidal volume indicated is the real measured value (compliance- ccompensation|, even when the in- spiatory gas is discharged via the reliel valve, as the amount of comn- pressed gis within the respiratory freult is autornatcally deducted ‘rom that passing through the flow sensor. Alarm mechanisms (7) Internal patient cicuit pressure alarm... Upper and lower pressure limits, nogative pressure. (21 Gas supply pressure alarm... Oxy- {gon pressure, ar pressure {3} Alarm against reversing of IE ratio. (4) Power fare alarm. * In case of a maifunction, visible and audible alarms activate only audible alarm in case of power failure). Two minute alarm pause button also provided. High performance O2/AIR blender incorporated. 2 flowmeter (optional) can be con- nected to assure that the gas is the ssame concentration as that of the in- piratory gas.BASIC Se ANTS OF ICV-60 © and air are passed into the Oy/AIR blender 11}. After passing through a filter (and a water trap for AIR), the ser- sor for detecting gas supply pressure, ‘and the pressureveducing valve, and ‘thay are mixed toa desited exygen con- centration. This mixed gas is then separated into the expiratory and in piratory phase cicuits in accordance ‘wit the NE ratio derived from the preset respiratory rate and inspiratory time, set by means of the solenoid vahe 7) and (8). The expiratory and in- spiatory flow volumes can be in- dependently controled by means of the flow rate control dials (21 and {9}. The mixed gas propery contalled at the selected concentration and flow rate thon pursues the folewing course. EXPIRATORY us Tho mived gas that is sent from the O1AIF biender (1) only during the ex piratory phase passes through the sole- oid valve (7), the flow rate beng controled by the expiratory phase con- stant flow control dial (2), into the Expiratory Phase ARO: ‘TOvARDender "DExpratery phase constant low ofeserve bog “One-way valve (Strapitatory bacterial or reserve bag (3). Then, the gas flow forms.a constant flow inside the circuit through (4, (51, and (6), providing IM {functioning to prepare for spontanaous breathing of the patient. The patient's ‘expiratory gas and the constant fow are sent to the expiratory circuit unt (15) via ‘the water trap {21) and is discharged through the exhaust sort (17h. ‘The patient's mouth pressure is in dicated on the analogue circuit pres sure gauge {19}, while this informa- ‘ton is also transmitted through the “Dear hamiiter ‘oSolonos valve ‘eSolno valve ‘Sinspetery ow rate contol il Sesame ont di pressure sensor (18) to the electric Circuit (14) for digital indication ‘The AIR flows through the. solencid valva (8) into the end expiratory pres- sure contvol section (11), and is cut off there when there is ne requirement for PEEPICPAP or ZEEP, In the PEEP/CPAP mode, the AIR flows as shown by the red dotted line i the lend expiratory pressure dial is turned to INCREASE and is able 10 be controled at the desired pressure lave. Meanwhile, ZEEP is necessary, turnACOMA INFANT VENTILATOR ARO; Ting axpietor presare coal al ‘esha port hetat eles ‘icra eu ‘sExpratory cut unt (Rw tontor the ond expiratory pressure dial to DECREASE, then the AIR flows as shown by the biue dotted line, raking the pressure nogativa, and in affect lowering the end expiratory pressure In these cases, excess negative pressure may cause the end expiratory pressure to reach a minus level, and the alarm wil sound, Set ee ie a ‘Potion Said WSS “The mbsod gas from the Os/AIR blender {11 flows inside the inspiratory ckcuit va the solenoid valve (7, flow rate being controlled by means of the inspiratory flow rate control dial (9), and is then ‘sent on tothe patient (22) through the ICV-60 regular route of (13, (16), (6) and (6), As {or the inspiratory pressure, the instan taneous analogue value is indicated on the Circuit pressure gauge (TSI, while proper max., min. and mean values ‘can be selected to be digitally display- fed via the pressure sensor (18) and the electronic cireut (14), The sive {ges in the air control cicuit flows through the solenoid valve (8) into the ‘max. inspiratory pressure contral sec- tion (10), where itis controlled at the proper pressure level, and then flows into the relief valve (13) and the © piratory valve in the expiratory circu Unit (15) to contral the respective valves according to the required pressure. Tidal volume is agjusted by means of the inspiratory flow rate contol dal (9), In this case, the flow rate detected by the flow sensor (16) is gen with ‘compliznce-compensation, and isin ‘cated as an accurate, actual measured value. (At this time, the expiratory valve in the expiratory circuit unit 115) i closed.) Also PLATEAU Pressure is set 10 the proper level by setting the max inspiratory pressure contol dal (10), The figure shows the condition when the reief veive 113) opens and the ex ‘cessive gas over the preset level (in pressure) is discharged from the ex hhaust port (12) to form the PLATEAU. Further, as to the SIGH function, inspea- tory action can be continued for up to max.) twice the preset inspiratory time by pressing tho MANUAL INSPIRATION button on the control panel, ° ‘Al gas control sections such as open: ingiciosing of the expiratory valve, end ‘expiratory pressure (PEEP/CPAP ZEEPI, relist valve, and max. inspiratory pressure are air activate “The monitor panel, which can be said to be the brain of the equipment, is $0 designed that accurate indicators and alarms can be quickly appraised as result of serving as stant calculators! ‘Compensators of the unit functioning in accordance with preset conditions, ‘since the data derived from the sensors is immediately transferred to the elec tronic circuit (14),@ eo Qo eee = Ol o0ol_o = q ©, 0, ©- Ojo O71 20 | fV | oo @ o e &© oo ° Can be steplessly set from +5 te VE ratio dit indice OPERATIONAL Sosunted fhe pont pense yr SECTION coer al rr Pea exe (WE rato) is automatcaly caleulated FUNCTIONS the aucibe and visble lames ere Storytime, ans aiptaly nested activated at the end of the expiratory phase, Activating tango of alarm © Airway pressure digital ei indicator ah p19} a . By pressing one ofthe selector buttons | ¥ EKO eT 198 below, max,, min. of mean value of the a airway’ pressure can be digitally indicat- Scand depending onthe vas the (fhe IE ato ered hon roper patent respiration contol made ccator rks £%: Max. Uselulfr obtaining accur- 0.5 due to shorter expiatry time, = we. are peak pressure te "TE to! ibe and ee fan " fa single alarms are activate si ye &* beta Tha ndictor shows tho proses HE , Min. Mainly used to check the. ratio, while the equipment con- ~ ‘end expiratory pressure in tinues to work with an I/E ratio of ‘the PEEP/CPAP mode. ‘10.5 (for safetyl. + Ttndcates“max value at the time ofc) The indicator bghts up ‘uring the power ON, whie only (d) When he IE rato exceeds 1:98, the moan” valve during CPAP\rspira-__ indicator binks signal an overiow tory rate: 0} “nh © Tidal volume digital indicator @ Respiratory rate digital Tidal volume can be set from 0 1 indicator 998ml by tuning the inspiratory foe rate control dial (12). Inspiratory flow rate can be controlled frorh 3 to 40 Intersimin. The tidal volume displayed is the actually measured (compliance Respiratory rate can be set from 0 10180 tmesimin. in 54 steps by turing the respiratory rata setting dal (16). + Upper press nt lr: Can be sepa st fom +0 Lo flowmeter ‘A gas concentration similar to the in- “piratory gas can be obtained ftom 0 to 20 ltersimin, by attaching an optional a lowneter to this connection. In the ‘case of increasing expiratory flow or in using a Jackson tees, it can be used for an another gas supply source. ‘© Expiratory phase constant flow control dial Using ths gal, a constant flow of 8 to 20 ltersimin. can be oblained to lower the inspratory resistance (smooth in ‘spiration of gas) during spontaneous breathing, A reserve bag is also provd- fd to allow for further lowering of in- spiratory resistance. ‘This 928 flow is sent in place of the in- spiretory flow only during the expiratory hase s0 that it reduces. expiratory Fasistanca to the pationt and eliminates ‘988 consumption, great increasing the Lnit’s economical efficiancy ‘= ITPEEP lovel changes greatly (lowers) due to high patient inspiratory vole lume, this flow rate should be in- creased © Oxygen concentration control dial Misa the oxygen percentage of the ‘supplied gasina high efficiency bender atan accurate concentration from 21 to 100%. @ Power switch ‘A cover provided to protect the switch from being inadvortantly depressed. A power failure alarm is incorporated to ‘promptly inform when the power supply iscut off such as through disconnection Cf the cord, breaker cutoff due to pow- ‘er overage, etc, and it sounds ata max- imum food tev, @ Inspiratory flow control dial This dal controls the rising of inspiratory pressure curve, and is utlized for tidal ‘volume presetting © Manual inspiration button Inspiratory phase operation is possible ‘only wile depressing this button, which allows to deivery of a SIGH or similar function, However, it doosnt excood ‘twice the preset inspiratory time. Als, the unt automaticaly changes over to the expatory phase the inspiratory pressure exceeds the preset upper limit, ‘een during manual inspration ior sae 1s sake), @ Inspiratory time setting dial ‘This dial is used to set the inspiratory period af a single breath, IE ratio can be automatically calculated from this and Setting of the respiratory rate, © Max. inspiratory pressure control dial ‘Meximum inspiratory pressure can be ‘steplessly sot fram + 10t0 +70emH,0. ‘When the pressure level exceeds the preset upper lit the surplus gas dis ‘charged into the room through the relic! valve. However, the ges volume sent to the patients corecty measured and = dicated. To get 2 pletoau at the end of the inspiratory phase, following the cir cult pressure gauge (18) indication, turn the control dials to the max. in- spiratory pressure (16) and inspra- tory flow rate (12) in turn 50 as to oblain the necessary pressure and tidal volume. © Respiratory rate setting dial By setting respiratory rate and inspira tory time, IE rat is automatically de termined, and the expiration and in- spiration phases are repeated accord- ing to this ratio. The CMV mode can ‘be changed to the IMV mode by de- creasing the respiratory rate, while the CPAP mode can be operated by decreasing the respiratory rate 10 © PEEP control dial PEEP can be set fram 0 to +20cmH0 by turing this cal Incase tho expiato 1y ima is too short against respiratory rate oF the expiratory phase pressure inereases influenced by the expiratory flow, tis cial can be used to decrease it ZEEP) Ifthe ainway pressure becomes lower than ~2emH,0, the negative pressure visible and audible alarms activate ‘PEEP level can be obained by depressing tha minimum button af the creut pressure gauge or the arway pressure montor, © Circuit pressure gauge The highly accurate pressure meter ‘enables measurement ranging trom 10 to +70cm#,0, [Zero point com- pensation possible) © Pressure detection section Equipped with @ sensor for detecting the airway pressura, a minute amount of {gas flaws constantly through this can- ‘nection port to prevent such trouble as, ‘measuring eros oF corrosion ofthe cr- ‘uit esused by moisture on the sensor. Also, a bacterial iter can be attached here to avoid eventual infections. @ Expiratory circuit unitThe unit includes such functions as an expiratory vale, PEEP valve, and a raiet vane. tan be mounted or dismounted with the main body by one touch and is steriizable in autoclave, Humidifier ‘hose hester type heater huitior is furnished as a standard accessory. thas been so designed that inspiato- ry resistance is low and dew concensa tion inside the tube & prevented. Fur- ther, adopts disposable cartridge for hnygianio sake, eliminating the posse {yo infection Bacterial filter ‘The excellent bacterial filters are pro vided in inspiratory circuit and the pres- ste detecting section so thatthe patient is protected from bacterial invasion Water trap The water trap system is employed in the expiratory circuit to prevent an in- Ctoase of expiratory resistance. ‘Also, a water trap & equipped atthe AIR intake port for unt. protection Other than the aforesald functions, rear side ofthe main body Is equipped with Ja) Alarm sound volume control knob. Ib} A.complence compensation switch ‘whichis incispensable in obtaining courste respratory rate [c) An hour meter which indicates upto B.digit total working time. ACOMA INFANT VENTILATOR ICV-60 SPECIFICATIONS ‘Appliceble uses ramature, newborn. infants Diving eye: Elocwoneiy contd, ar drven system lw eylng spe ‘ow generator ‘entiation made ané functions: CMV, MY, Pateau, Sigh manual, PEEPICPAP ZEEP Respiratory rat:0 wo 180 timesinin.varlable n 4 steps indieation) Inepiatory tine: 01 w Sse, voratsein 48 steps (dita! indication! Ue rato: 10. to 299 gal eteation) Til luo: Oto 888i. (itl ncation) Inciate he actual mansurod va after deducting the ernount of com pressed garinsce the cet ‘Aira resture! Instantaneous ve ..—10t + 7OemH:0(enalagye ‘hesion) Max. Mean or Min. value. selected by se of 3 buttons gain tteaton) (Os concantration: 21 to 100%, steplssy variable Inepiatory flow ato: 3 to AD tren, wopacey variable Constant how in expitory phase: 0 20ersimin,steplesly variable ax napirtoryprcsure: 106 7Oem0,steplessty vartale PEEP: Oto 202m stepesty variable aso ZEEP possible. Mana nepraton: Arbiter prolongs nspraon phase up to wice (mx) the poset nspatory tne tater Paton circuit pressure: Unper pressure nt (100 70emF0, aude and ‘vaual {ower pressure it ( 10 6Sem¥0, aie an visual) [Negative pressure (—2eme,0, aude ana visual) ‘Gas supply prvsure: Alarm wien Or ofa pressure flls below 250kPo i2-sugfom , aualo and vist Revered nto: 11 0 105, warning indctor ks ese than05, warning indicator bine, ude and visual ower ore: Discoonaction of power cord plug comes aut lctl€ outo9S ‘te. ecb) ‘Alor pause Sound stop for 2 minutes. some other sbnormalty occur, use mes canceled and wstse/eudbe alarms acvated 29a Humaier: Hester humor ‘Ruoy low roe: 0 to 20 tersfmin, Concentration [same as ineprtory ‘ow (otal ower sour ACIOO ~ 240V SO/GOHs, breaker 18 Power consumption: BVA (a ACTOOV), eluding humor Sone: 440(W| 3 380101 421014) “Main body: 210, ‘weight Approx. Suge etding one set of acessories! STANDARD ACCESSORIES Pressure tube (O:, AIR) 5m Breathing system .. Expiratory tube (wiadaptor) Reserve bag (3 liters) Test bag (60m) Humidifier (w/disposable Water trap unit whumidifier holder & SSUPPOFE BF en naen ne 3:section support arm. StaMM sre Power cord (Sm Unit eover DK 91/00-18,ACOMA INFANT VENTILATOR ICV-60 eee eli @ AIR COMPRESSOR AC-35 ‘car. No, 2072041 This isthe air compressor that has baen developed exclusively for use with a ventilator. It supplies clean ‘compressed air roe from oi and bacteria. ‘Specifications: Supply pressure 360 to AOOKPa (3.5 to age eauro of the elt vale; 6000s (SOG Her ‘supply ow sate! Cotinvousiy 35N iertin: ax) at 350 to 08a) Dw point: 72C tn atmosphorc pressure) Noster Lowor chan $6308 (A sea i Power souree: ACI00~ 240, sng phase SOIGOHz Power consumption: SKA it ACTOOV) (ute sizes 201) x 46010) 75014} Wight: Approx. 90g working