Percussionaire TXP 5 User manual

TXP™ QUICK REFERENCE GUIDE
1. Mount TXP™ 5 to pole.
2. Connect AC power source.
3. Connect gas source.
4. Connect breathing circuit.
5. Always perform a pre-use check before
ventilating any patients.
6. Recommended HME/HMEF bacterial/viral
lter with an eciency
of >99.999% with a
2 cmH2O or less
ow resistance
at 60 L/min.
7. Set Frequency arrow straight
up for starting position, which
will produce a high-frequency
rate of approximately 500.
8. Connect to patient invasively or
non-invasively.
9. Turn Amplitude counterclockwise
to start ventilation.
Display will turn on as soon as ventilation pressure
is detected above 2.5 cmH2O for 5 seconds.
Alarms default
set 45 and 3
10. Press once for alarm
silence if needed.
Simple System Setup
This device is
NOT an oscillator (HFOV) NOT a jet (HFJV)
NOT a Conventional Ventilator
It is a High-Frequency
Percussive Ventilator (HFPV)
Optional secondary
lters may be added
to the two 15 mm ports,
either directly or with tubing
connectors.
Optional PEEP
valve with or
without lter
Optional
one-way
valve
Intubated patient with Phasitron®
Supplemental oxygen can be
added after lter

TXP™QUICK REFERENCE GUIDE
Standard Circuit
Setup and Initial Settings
• Frequency control set with arrow straight up (rate of 500 +/- 25).
• Attach Phasitron® to patient with a hospital approved HMEF (See pictures on page 1).
• Start with Amplitude control turned all the way to the right. Turn Amplitude control slowly,
counterclockwise, until patient’s chest is observed to be moving (wiggle).
Ensure that the chest is moving, just below the ribs.
• Observe patient SpO
2
and CO
2
and draw an ABG 30 minutes later.
• Record Mean Airway Pressure (MAP), high-frequency rate, and amplitude along with SpO
2
& CO
2
.
Adjustment Options
To Increase patient’s pO
2
and decrease CO
2
• Increase Amplitude in steps of 2-4 cmH
2
O.
To Increase patient’s O
2
if CO
2
is OK
• If device is plugged into an O
2
outlet, the delivered FiO
2
will be 60%.
• If one needs more than 60% FiO
2
, Oxygen may be added between the Phasitron®
and the patient to achieve close to 100% (see item #8 on page 1).
• Increase Frequency by 100 (repeat to a maximum of 700) - this may increase MAP, which may eect pO
2
.
To Decrease patient’s CO
2
if O
2
is OK
• Increase Amplitude in steps of 2-4 cmH
2
O (while keeping MAP within desired range).
• Decrease Frequency by 100 pulses in a stepwise fashion to a low of 300.
To Increase patient’s CO
2
if O
2
is OK
• Increase Frequency by 100 pulses to a maximum of 700.
• Decrease Amplitude in steps of 2-4 cmH
2
O - will decrease MAP, which may aect patient O
2
.
If patient needs MAP for oxygenation, but pCO
2
is still low, add 6" lengths of corrugated
tubing to create mechanical deadspace.
Standard Circuit with Optional PEEP Valve
and Inspiratory Valve
Adjustment Options
To Increase patient’s pO
2
and decrease CO
2
• Increase Amplitude in steps of 2-4 cmH
2
O and watch for increase in MAP.
To Increase patient’s O
2
if CO
2
is OK
• If device is plugged into an O
2
outlet, the delivered FiO
2
will be 60%.
• If one needs more than 60% FiO
2
, Oxygen may be added between the Phasitron®
and the patient to achieve close to 100% (see item #8 on page 1).
• Increase the MAP by 2 cmH
2
O with the mechanical PEEP valve.
• Increase Frequency by 100 (repeat to a maximum of 700) - this may increase CO
2
.
To Decrease patient’s CO
2
if O
2
is OK
• Increase Amplitude in steps of 2-4 cmH
2
O (while keeping MAP within desired range).
• Decrease Frequency by 100 pulses in a stepwise fashion to a low of 300.
To Increase patient’s CO
2
if O
2
is OK
• Decrease amplitude in steps of 2-4 cmH
2
O (while keeping MAP within desired range).
If MAP is decreasing, one can adjust PEEP valve to higher PEEP setting for similar MAP.
• Increase Frequency by 100 pulses to a maximum of 700.
Amplitude
MAP
Mechanical deadspace
High-
frequency
rate
208-263-2549
www.percussionaire.com
Made in the USA
P20091 Rev C
MAP
Amplitude
Frequency
40
35
30
25
20
15
10
5
0
cmH2O
Frequency
With PEEP valve
Distributed by
SOVEREIGN MEDICAL, INC
620H Valley Forge Rd - Hillsborough, NC 27278
919-644-1113 sovmed.com