laerdal Bemis 78 00 20 Manual

Laerdal Suction Unit
Directions for Use
Cat. No. 78 00 20 - Bemis
www.laerdal.com
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Read these Directions for Use carefully, and become thoroughly familiar with
the operation and maintenance of the LSU before using it.
The LSU should only be used by persons trained in the use of medical
suction equipment.
The LSU is not suitable for use in the presence of flammable liquids or gases.
There can be a danger of explosion or fire.
Do not use the LSU under environmental conditions that are outside the
ranges specified under section 9.6. This can endanger safety and adversely
affect operation of the device.
Battery:
- The LSU must be charged between each clinical use
- To maintain satisfactory operation of the battery, it is recommended to place
the LSU on continuous charge when not in use.
- The LSU must be placed on charge for a minimum of 24 hours to reach full battery
capacity. The fast charging gives approx. 80% battery capacity after 3 hours (for a
new battery). Please note that repetitive 3 hour charging is not recommended.
- If it is not possible to place the LSU on continuous charge when not in use, make
sure the battery is charged for a minimum of 24 hours at least once
a month.
- Do not store the battery when it is discharged. Always fully charge the
battery before storage.
Do not block the Exhaust Outlet during use. This will lead to reduced flow and
can also cause damage to the LSU.
If overflow of liquid from the Canister into the pump is suspected, the LSU
must be returned for service (see section 6). Overflow of suctioned material
can damage the device.
Disconnect the LSU from external power prior to cleaning. Use a minimum of
liquid to prevent any electrical shock hazard.
Do not immerse the LSU or allow it to stand in water or other liquids. This might
damage the device, and cause electrical hazard.
Do not pump any cleaning solution or other liquids through the vacuum pump,
i.e. through the Vacuum Connector. This can damage the LSU.
Use only accessories supplied by Laerdal or one of its authorized dealers to
help ensure that the LSU operates satisfactorily.
Federal law (USA) restricts the LSU to sale by or on the order of a physician.
2
1 Cautions and Warnings
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Contents
1 Cautions and Warnings .............................................................2
2 Introduction .................................................................................... 4
2.1 Unpacking ..................................................................................4
2.2 Indications for Use ..................................................................4
2.3 Contraindications .................................................................... 4
2.4 Features and Benefits ............................................................. 4
2.5 Limited Warranty ....................................................................5
3 Description ...................................................................................... 6
3.1 Quick Reference Guide ......................................................... 6
3.2 User Interface ...........................................................................7
3.3 Canister ................................................................................... 12
3.4 Power Sources / Connector Sockets ...............................13
3.5 Automatic Power-save Function ....................................... 13
4 Operation .......................................................................................14
4.1 Getting Started ...................................................................... 14
4.2 Replace the Canister ............................................................15
4.3 After Use .................................................................................16
5 Maintenance ..................................................................................16
5.1 General .................................................................................... 16
5.2 Battery ..................................................................................... 16
5.3 Clean the Cabinet .................................................................16
5.4 Charge the Battery ............................................................... 17
5.5 Check the Battery Quality ..................................................17
5.6 Replace the Battery .............................................................. 18
6 Servicing ......................................................................................... 18
7 Trouble Shooting ....................................................................... 19
8 Parts List ........................................................................................ 20
9 Specifications ................................................................................21
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2.1 Unpacking
- Remove the LSU from its packaging and inspect all parts for
damage. If there are any signs of damage or if any parts are missing,
immediately notify Laerdal or one of its authorized dealers.
- Insert the battery according to section 5.6.
- Place the LSU on charge for a minimum of 24 hours to make sure you have
a fully charged battery (see section 5.4).
- Perform the Device Test according to section 3.2.3.
2.2 Indications for Use
The LSU is a portable, electrically powered, medical suction equipment
intended for field and transport use. It is intended for intermittent
operation to remove secretions, blood or vomit from a patient´s airway
to allow ventilation. Higher vacuum levels are generally selected for
oropharyngeal suctioning, and lower vacuum levels are usually selected
for tracheal suctioning and the suctioning of children and infants.
2.3 Contraindications
None known.
2.4 Features and Benefits
- Splashproof, rugged and solid.
- Easy access to the tubing.
- Equipped with an internal battery that can easily be replaced
without using tools.
- Charging of battery can be done directly from AC or DC mains - no
external charger is needed.
- Fast charge option of 3 hours, giving approx. 80% battery capacity.
- Operation possible from internal battery and directly from AC or DC mains
- no adapter is needed.
- A large combined ON/OFF switch and vacuum selector makes
operation easy even with heavy-duty gloves.
- A green LED bargraph makes it easy to observe the actual vacuum level
during operation.
- Another green LED bargraph indicates approx. remaining battery capacity.
4
2 Introduction
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2.5 Limited Warranty
The LSU comes with five (5) year limited warranty*. See the enclosed
“Laerdal Global Warranty” for terms and conditions.
The warranty is also available at www.laerdal.com
* Excluding the canister, tubing systems and battery.
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3.1 Quick Reference Guide
LSU w/Disposable Canister
6
3 Description
Vacuum
Connector
Patient Suction
Tubing
Canister Holder
Battery
Door
Canister Holder
Release Arm
CanisterCanister Lid w/Bacterial
Filter & Shut-Off Valve
Strap for Patient
Suction Tubing
Vacuum Connector
Tubing
VACUUM Inlet
Patient
Inlet
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User Interface
3.2 User Interface
3.2.1 Operating Knob
The Operating Knob is a combined ON/OFF switch and vacuum
selector, located at the bottom of the User Interface.
The LSU is switched ON by turning the Operating
Knob to the required setting. Each setting
indicates the maximum achievable vacuum level
for the selected position (80, 120, 200, 350,
500+ mmHg). The free air flow value changes
along with the increasing vacuum settings
(see section 9.4 for details). The LSU is switched
OFF by resetting the Operating Knob to “0”.
Even if the Operating Knob is in “0” position, voltage is present on some
of the internal circuitry, when the LSU is connected to mains. To fully
remove power, pull out the Power Cord.
TEST-Button
Power ON Indicator Vacuum Indicator
Battery Status
Indicator
Operating Knob
External Power
Indicator
Failure Mode
Indicator
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3.2.2 Indicators
3.2.2.1 Power ON Indicator
This green LED has 3 modes:
- It is lit continuously while the LSU is switched ON.
- It flashes rapidly (approx. twice per second) during the Device Test.
- It flashes slowly (approx. once per second) while the Automatic
Power-save Function is activated, if the Device Test is interrupted
and when the battery is discharged.
3.2.2.2 External Power Indicator
This green LED is continuously lit while external AC- or DC-power is
connected.
3.2.2.3 Failure Mode Indicator
The red LED is lit when a possible malfunction of the LSU has been
detected. If lit turn the LSU OFF, and then ON again to check if the
indication disappears*. Provided that the indication does not occur
again the LSU can be operated. If the Indicator continues to be lit after
three OFF/ON cycles and after replacing the battery with a fully charged
battery, discontinue use and return the LSU to service. (See section 6).
*Failure Mode Indication caused by external electrical interference may occur on any digital
equipment including the LSU. Such fault will usually not be repeated.
3.2.2.4 Vacuum Indicator
This green LED bargraph displays the actual
vacuum level during operation of the LSU. Each fully lit
segment represents 50 mmHg. If a segment has a weak
light, this represents 25 mmHg (e.g 125 mmHg means
2 fully lit and 1 weakly lit segments).
3.2.2.5 Battery Status Indicator
During operation from internal battery and during charging
the displayed values must only be used as indications.
Several parameters can influence battery capacity e.g. device settings,
state of battery, temperature etc.
8
mmHg 80 120 200 350 500
kPa 11 16 27 47 67
mBar 107 160 267 467 667
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This green LED bargraph has 3 functions:
During operation from internal battery - indicates approx. remaining battery capacity.
Note: Immediately after turning the LSU ON and immediately after switching from external
power to internal battery operation, all 4 LED’s will flash for 5 seconds before the remaining
battery capacity is displayed. Due to the nature of voltage based battery capacity measurement,
the battery status indication may differ from unit to unit. Each battery may vary in voltage versus
remaining capacity, thus allowing for variability in the reading. Other outside variables such as
temperature may also affect accuracy. The indication is targeted to show battery capacity as
indicated below. The graph shows how the accuracy of the indication can vary.
TYPICAL REMAINING BATTERY CAPACITY
(for a new battery stored in room temperature ) OUTPUT
> 50 % 4 LEDs lit.
30 - 50% 3 LEDs lit.
20 - 30% 2 LEDs lit.
< 20% 1 LED lit.
Battery Low; (min. 1 minute of operation left based on
500+ mmHg/free flow). 1 LED flashes.
Note: If the LSU or the NiMH battery has been stored at low temperatures
(< 12 °C / < 54 °F), the LSU may indicate lower remaining battery capacity than actual when
first switched on. This is due to the nature of NiMH batteries. The battery indicator may flash on
one LED, which normally indicates Battery Low. The LED may continue to flash until the LSU
temperature is above 12 °C / 54 °F and the LSU is switched off and on again. The low
battery indication in this instance is not a correct indication of the residual battery capacity.
During charging - indicates approx. achieved battery capacity.
CAPACITY OUTPUT*
< 75% The LED’s will be lit sequentially.
75-80% 3 LED’s lit and 4th flashing.
> 80% 4 LED’s lit.
*Note: If no battery is installed, the battery status indicator will be fully lit for approx. 5 sec.
until it is turned off.
During the Device Test - indicates which step of the test is currently in
progress or which corresponding test result is being displayed:
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LED 1 (lower LED) lit = STEP 1, LED 2 lit = STEP 2 etc.
3.2.3 TEST-Button
This button allows you to run a 4-step user initiated Device Test
program to identify whether the LSU operates satisfactorily, is assembled
correctly or if it needs service:
- STEP 1 - Checking for occlusions in the Suction System (including
canister and tubing).
- STEP 2 - Checking the vacuum build-up efficacy of the Pump System.
- STEP 3 - Checking the max. achievable vacuum level of the LSU. (reaches
this level within 10 seconds).
- STEP 4 - Checking for air leakage in the Pump System (including canister
and tubing).
To indicate that the LSU is in test mode, the Power ON Indicator
will flash rapidly (approx. twice per second) until you exit the test
program.
BEFORE YOU START THE DEVICE TEST
- Before you press the TEST-Button, make sure the Patient Suction Tubing
is not occluded or bent.
DEVICE TEST DESCRIPTION
- Press and hold the TEST-Button while setting the Operating Knob to
500+ mmHg.
Note: Do not release the TEST-Button until min. 2 seconds after the
Operating Knob has been set to 500+ mmHg. The test will start immediately.
- As soon as LED 2 of the Battery Status
Indicator comes on (takes approx. one
second) fully occlude the Patient
Suction Tubing.*
- Keep the tubing occluded until LED 1
comes on. To read the test results
see next page.
Note: If you need to interrupt the test and revert to normal operation, turn the
Operating Knob to another position and then select the required setting.
* If the tubing is not occluded within 2 minutes, the test will be interrupted and
the Power ON Indicator will start to flash slowly (approx. once per second).
10
LED 4
LED 3
LED 2
LED 1
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TO DISPLAY THE TEST RESULTS: After the test is completed, the Vacuum Indicator will automatically display the result from STEP 1. To display the results from STEP 2, 3 and 4, simply press the TEST-Button once for each STEP. If you continue pressing the button after the STEP 4 result has been displayed, the earlier results will be repeated (STEP 1,2,3,4,1,etc.). To exit the test program, set the Operating Knob to another position.
Note: If the LSU does not pass one or more of the steps in this test after suggested actions are taken, the device might need to be returned for service (see section 6).
TEST STEP DISPLAYED ON THE BATTERY STATUS INDICATOR STEP 1 - Occlusions STEP 2 - Vacuum Build-Up Efficacy - within 3 seconds STEP 3 - Max. Achievable Vacuum - within 10 seconds STEP 4 - Air Leakage
TEST RESULT DISPLAYED ON THE VACUUM INDICATOR Test Passed: 100 mmHg. Test Passed: 300 mmHg. Test Passed: 500 mmHg. Test Passed: 450 mmHg.
ACTION IF TEST FAILED Check possible occlusions (e.g. twisted tubing) and run the Device Test again. Check Connectors, Tubes and Canister Lid for leakage or damage. Check exhaust outlet for occlusion and run the Device Test again Check Connectors, Tubes and Canister Lid for leakage or damage. Check exhaust outlet for occlusion and run the Device Test again Check Connectors, Tubes and Canister Lid for leakage or damage and run the Device Test again
< > > >
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To restart the test, set the Operating Knob to “0” and then start over again.
3.3 Bemis™Canister
The disposable Canister consists of:
- A 1200 ml transparent plastic Canister.
- Bacterial Filter - 99.99% DOP rated.
- Shut-Off Valve and Foam Guard seals tightly to prevent fluid overflow.
The Canister Lid contains a Shut-Off Valve that shuts off the vacuum
if the Canister is full or the LSU tips over. To reset the valve, remove
the Angled Connector from the VACUUM Inlet.
Note: All parts are disposable and must be replaced after each use.
12
Vacuum
Connector
Tubing
Angled Connector
(VACUUM Inlet)
Canister
VACUUM Inlet.
PATIENT Inlet
Angled Connector
(PATIENT Inlet)
Shut-Off Valve and
Foam Guard
Bacterial Filter
Patient Suction
Tubing
Canister Lid
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3.4 Power Sources / Connector Sockets
The LSU is delivered with an AC Power Cord for connection to AC
mains and a DC Power Cord for connection to DC mains.
The device can be operated from the internal battery, and can be
operated or charged from the following external Power Sources:
- AC mains when used with the AC Power Cord: (Max. length 1.5 m.)
100-240 VAC (50/60 Hz)
- DC mains when used with the DC Power Cord: (Max. length 1.5 m.)
12-28 VDC
A Wall Bracket to hold the LSU during operation and charging is
available separately (see section 8).
External power connection will cause the External Power Indicator
to be lit.
3.5 Automatic Power-save Function
The LSU has an Automatic Power-save Function that switches OFF
the pump motor. While in this mode, the Power ON Indicator will
flash slowly (approx. once per second).
This function will be activated when the Operating Knob is set to 200,
350 or 500+ mmHg and the actual vacuum level has been
continuously higher than 120 mmHg for 2 minutes.
To exit the Power-save Mode and revert to normal operation, set the
Operating Knob to any position and then go back to required setting.
AC Connector Socket
DC Connector Socket
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4.1 Getting Started
Note: Read all the Cautions and Warnings listed in section 1
thoroughly before you use the LSU.
1. Check that no parts are missing and that all parts are clean.
2. If you decide to operate the LSU from external power, connect
either external AC- or DC-power to the LSU as described in
section 3.4. If decide to operate the LSU from internal battery, check that
battery is installed.
3. Ensure the Patient Suction Tubing is securely connected to the PATIENT
Inlet on the Canister Lid.
4. Check that a suction catheter is attached to the patient suction tube or
suction adapter. Do not use the suction tube or suction adapter without
a suction catheter attached. Proceed as follows:
5. Release the Patient Suction Tubing by releasing the Strap.
6 The LSU should be operated in the upright position to prevent overflow
of suctioned material.
7. Set the Operating Knob to the required vacuum level, and the LSU will
automatically be switched ON and start to operate. The green Power
ON Indicator is continuously lit while the LSU is
switched ON.
14
4. Operation
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4.2 Replace the Canister
Note: It is recommended to replace the Canister when it is 3/4 full.
When liquid reaches the top of the Canister, the LSU will not suction
any more liquid. If overflow of liquid from the Canister into the pump
is suspected, the LSU must be returned for service (see section 6).
Overflow of suctioned material can damage the device.
1. To remove the Canister, proceed as follows:
2. Disconnect the Angled Connector
from the VACUUM Inlet on the Lid.
Connect the “suction end” of the
Patient Suction Tubing to the
VACUUM Inlet to avoid spillage.
3. To release the Canister Holder, press down the Canister Holder Release Arm
while sliding the Holder towards you. Remove the Canister from the Holder.
4. Safely dispose of the contents of the Canister according to local protocols.
5. Replace parts according to section 3.3.
6. Install the Canister in the Holder, slide the Holder into position and
connect tubing to the Canister.
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4.3 After Use
- When suction is complete, set the Vacuum Switch to “0” and inspect all
parts for damage or excessive wear. Replace parts if necessary.
- Clean the LSU according to section 5.3.
- Perform the Device Test according to section 3.2.3.
- Place the LSU on charge (see section 5.4).
5.1 General
- Make sure the maintenance instructions under section 4.3 are followed.
- If the device is not in frequent use (i.e. less than once a month), the Device
Test should be performed both on a monthly basis and after each use.
5.2 Battery
- To maintain satisfactory operation of the battery, it is recommended to
place the LSU on continuous charge when not in use.
- Replace the battery when it does not pass the Battery Quality Check
(see section 5.5 for details), or after 3 years.
- Do not store the LSU with an discharged battery.
5.3 Clean the Cabinet
Warning: Disconnect the LSU from external power prior to cleaning.
Use a minimum of liquid to prevent any electrical shock hazard. Do
not immerse the LSU or allow it to stand in water or other liquids. This
can damage the device, and cause electrical shock resulting in injury
to persons.
- Use a cloth or sponge that is dampened with a mild detergent (hand
dishwashing liquid or similar) to clean the external surfaces of the LSU.
Use a detergent that is compatible with the materials listed under section
9.7, and follow the detergent manufacturer´s instructions.
- Use a cloth or sponge dampened with water and wipe the surfaces again.
- Dry the surfaces using a clean cloth or a paper towel.
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5. Maintenance
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5.4 Charge the Battery
The internal rechargeable battery can be charged directly from external
AC- or DC-power as described in section 3.4. No external charger is needed.
To charge the battery, proceed as follows:
1. Make sure the Operating Knob is set to “0”. Connect either
external AC- or DC-power to the LSU and charging will
start automatically.
2. During charging the Battery Status Indicator will indicate
approx. achieved battery capacity (see section 3.2.2.5
for details).
3. The LSU must be placed on charge for a minimum of 24
hours to reach full battery capacity. The fast charging
gives approx.80% capacity after 3 hours (for a new battery).
Repetitive charging for only 3 hours is not recommended.
Note:
- To maintain satisfactory operation of the battery, it is recommended to place
the LSU on continuous charge immediately after use.
- It is recommended to always fully charge the battery. Repetitive charging to a
lower capacity level will reduce battery life.
- If it is not possible to place the LSU on continuous charge when not in use,
make sure the battery is charged for a minimum of 24 hours at least once a
month.
- Do not store the battery when it is discharged. Always fully charge the battery
before storage.
- The recommended ambient temperature for charging is from 15°C to 25°C
(59°F to 77°F ).
- The battery will not be charged when the LSU is in operation.
- If no battery is installed, the battery status indicator will be fully lit for approx. 5
sec. until it is turned off.
5.5 Check the Battery Quality
If poor battery quality is suspected, charge the battery for a minimum
of 24 hours and then perform the following test without connection to
external power:
- Run the Device Test and then let the LSU operate continuously at 500+
mmHg/free flow for 20 minutes.
- If the LSU stops before completing the 20 minutes, the battery should be
discarded.
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5.6 Replace the Battery
Note: Use only batteries recommended by Laerdal or one of its authorized
dealers.
4. To insert a battery, push it fully in and then to the
right to lock it.
5. Close the Battery Door.
6. After inserting the battery, place the LSU on
charge unless a fully charged battery is inserted.
There are no user serviceable parts inside the cabinet. Do not open
the cabinet. Refer servicing to personnel qualified by Laerdal, or to
Laerdal or one of its authorized dealers.
18
6. Servicing
1. Open the Battery Door. 2. To remove the battery,
push and move it slightly to
the left and then release.
3. Withdraw the battery
from the LSU.*
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19
*If you are discarding the battery, dispose of safely according to local protocols.
7. Trouble Shooting
FAULT
The LSU does not operate
with the AC or DC Power
Cord connected.
The LSU cannot be operated
from the internal battery.
The LSU operates, but little
or no suction available.
Battery Status Indicator is
not ON.
Vacuum Indicator indicates
more than 100 mmHg with
free air flow
CONDITION
External Power Indicator is
not lit when the Operating
Knob is set to “0”.
External Power Indicator is lit.
Power ON Indicator is OFF.
Floater valve is closed.
Canister full.
Poor vacuum connection
between Pump Unit and
Canister.
Patient Suction Tubing twisted
or blocked.
Battery is not charged.
Tube(s) is kinked or twisted
ACTION
Check power cord connec-
tions and the external AC- or
DC-power source.
The LSU must be returned
for service (see section 6).
Check that battery is installed.
Place the LSU on charge.
If still faulty after charging com-
pleted, remove and replace the
battery (see section 5.6).
Unplug the Filter/Vacuum
Tubing to release the vacuum
Remove and replace the
Canister (see section 4.2).
Install the Vacuum Connector
Tubing correctly.
Untwist the Patient Suction
Tubing and/or clear blockage
or replace the tubing.
Check power cord connections
and that battery is installed
Straighten / untwist the tube(s).
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Catalogue
Number Description
78 00 20 LSU w/Bemis Canister (not illustrated)
Consumables
88 30 00 Disposable Bemis Canister & Suction
Tubing (12/pkg.)
78 04 12 Disposable Patient Tubing
78 04 21 Vacuum Connector Tubing, Bemis 40 cm
79 46 02 Disposable Patient Tubing w/o tip
Accessories
78 20 00 Carrying Bag (full covering)
78 26 00 Wall Bracket w/DC-Power Cord
(not illustrated)
78 26 10 Wall Bracket w/AC-Power Cord US
(not illustrated)
78 26 40 Wall Bracket wo/Power Cord
(not illustrated)
78 23 00 Shoulder Strap
78 24 00 Side Pouch
78 04 40 External charger kit (not illustrated)
Parts
78 03 00 Direction for Use (not illustrated)
78 04 20 Bemis Canister Holder
78 04 33 Strap for Tubing
78 04 32 Release Arm
78 02 00 DC-Power Cord
78 02 10 AC-Power Cord US
78 04 00 LSU Battery - Lead Acid
78 08 00 LSU Battery - NiMH
78 04 34 Hook for strap (not illustrated)
Note: Parts or product configurations are subject to change without notice.
20
8. Parts List
78 20 00 78 24 00
78 23 00
88 30 00
79 46 02
78 04 00
78 08 00 78 02 00
78 04 33
78 04 32
78 04 20
78 04 21
78 02 10
78 04 12
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