Spesifikasi Ventilator Carescape R860

Merk : GE
Country of Origin : USA
Type : Carescape R860

Physical Specifications
Dimensions
: 48.85 cm (Display down)
Height
: 73.8 cm (Display up)
: 126.82 cm (Display down)
Height including cart
: 151.77 cm (Display up)
Width : 38 cm
Depth : 36 cm
Weight : 31 kg (not including cart)
: 78 kg (including cart)
Display motion
: 162.1° in raised position
Vertical tilt
: 47.6° in lowered position
Height adjustment : 24.95 cm

Key
N = * Available only when Neonatal patient type is selected
P = Available only when Pediatric patient type is selected
A = Available only when Adult patient type is selected
Note: Ranges and Settings without a mark (N, P, A) pertain to all patient types unless otherwise stated.

Modes of Ventilation
A/C VC (Volume Control)
A/C PC (Pressure Control)
A/C PRVC (Pressure Regulated Volume Control)
SIMV VC (Synchronized Intermittent Mandatory Ventilation, Volume Control)
SIMV PC (Synchronized Intermittent Mandatory Ventilation, Pressure Control)
CPAP/PS (Continuous Positive Airway Pressure/ Pressure Support)
SBT (Spontaneous Breathing Trial)
* APRV (Airway Pressure Release Ventilation)
* BiLevel (BiLevel Airway Pressure Ventilation)
* BiLevel VG (BiLevel with Volume Guarantee)
* SIMV PRVC (Synchronized Intermittent Mandatory Ventilation, Pressure Regulated Volume Control)
* VS (Volume Support)
* NIV (Non-invasive Ventilation) AP
* nCPAP (Nasal Continuous Positive Airway Pressure) N

Control and Ranges

: 30 L/min N
Maximum peak flow : 100 L/min P
: 208 L/min A
: 0.2 to 30 L/min N
Flow : 2 to 72 L/min P
: 2 to 160 L/min A
0.2 to 5 L/min (increments of 0.1 L/min)
: N
5 to 30 L/min (increments of 0.5 L/min)
2 to 40 L/min (increments of 1 L/min)
Incremental settings : P
40 to 72 L/min (increments of 2 L/min)
2 to 40 L/min (increments of 1 L/min)
: A
40 to 160 L/min (increments of 5 L/min)
FiO2 : 21 to 100% O2

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 3 to 150 breaths per minute for
: A/C VC, A/C PC, A/C PRVC and BiLevel N
(increments of 1 breath per minute)
3 to 120 breaths per minute for
: A/C VC, A/C PC, A/C PRVC and BiLevel AP
(increments of 1 breath per minute)
2 to 60 breaths per minute for SIMV VC,
Rate
: SIMV PC, SIMV PRVC and BiLevel VG N
(increments of 1 breath per minute)
1 to 60 breaths per minute for SIMV VC,
: SIMV PC, SIMV PRVC and BiLevel VG AP
(increments of 1 breath per minute)
Off, 1 to 30 breaths per minute for nCPAP
: N
(increments of 1 breath per minute)
1 to 60 breaths per minute for VS
: AP
(increments of 1 breath per minute)
2 to 60 breaths per minute for VS
: N
(increments of 1 breath per minute)
Minimum rate
Off, 1 to 60 breaths per minute for CPAP/PS
:
(increments of 1 breath per minute)
Off, 1 to 40 breaths per minute for NIV
: AP
(increments of 1 breath per minute)
: 1:9 to 4:1 (ventilator setting)
Inspiratory/expiratory ratio : 1:199 to 40:1 in BiLevel and APRV N
: 1:79 to 60:1 in BiLevel and APRV AP
: 2 to 50 mL N
Tidal volume range : 20 to 300 mL P
: 100 to 2000 mL A
2 to 20 mL (increments of 0.1 mL)
20 to 50 mL (increments of 0.5 mL)
: N
For A/C VC, A/C PRVC, SIMV VC,
SIMV PRVC, BiLevel VG, and VS
20 to 50 mL (increments of 0.5 mL)
50 to 100 mL (increments of 1 mL)
: 100 to 300 mL (increments of 5 mL) P
Incremental settings
For A/C VC, A/C PRVC, SIMV VC,
SIMV PRVC, BiLevel VG, and VS
100 to 300 mL (increments of 5 mL)
300 to 1000 mL (increments of 25 mL)
: 1000 to 2000 mL (increments of 50 mL) A
For A/C VC, A/C PRVC, SIMV VC,
SIMV PRVC, BiLevel VG, and VS
0.25 to 1 kg (increments of 0.01 kg)
: 1 to 7 kg (increments of 0.1 kg) N
7 to 10 kg (increments of 0.5 kg)
4 to 7 kg (increments of 0.1 kg)
Patient weight
: 7 to 15 kg (increments of 0.5 kg) P
15 to 60 kg (increments of 1 kg)
20 to 100 kg (increments of 1 kg)
: A
100 to 200 kg (increments of 2 kg)
: 1 to 98 cm H2O (increments of 1 cm H2O)
Inspiratory pressure (Pinsp) range : 1 to 30 cm H2O (increments of 1 cm H2O) in NIV AP
: 1 to 25 cm H2O (increments of 1 cm H2O) in nCPAP N
Phigh : 1 to 98 cm H2O (increments of 1 cm H2O)
Plow : Off, 1 to 50 cm H2O (increments of 1 cm H2O)
7 to 100 cm H2O for A/C VC and SIMV VC
Pressure limit (Plimit) range :
(increments of 1 cm H2O)

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Pmin : 2 to 20 cm H2O (increments of 1 cm H2O)
: 7 to 100 cm H2O (increments of 1 cm H2O)
Max. inspiratory pressure (Pmax) range 9 to 100 cm H2O (increments of 1 cm H2O)
:
in NIV and nCPAP
: Off, 1 to 50 cm H2O (increments of 1 cm H2O)
PEEP : 2 to 15 cm H2O (increments of 1 cm H2O) in nCPAP N
: 2 to 20 cm H2O (increments of 1 cm H2O) in NIV AP
0.1 to 10 sec
0.1 to 2 sec in nCPAP
: 0.1 to 1 sec (increments of 0.01) N
1 to 4 sec (increments of 0.1)
4 to 10 sec (increments of 0.25)
Inspiratory time
0.25 to 15 sec
0.25 to 5 sec in NIV
: 0.25 to 1 sec (increments of 0.05) AP
1 to 4 sec (increments of 0.1)
4 to 15 sec (increments of 0.25)
0.1 to 10 sec
0.1 to 1 sec (increments of 0.01)
: N
1 to 4 sec (increments of 0.1)
4 to 10 sec (increments of 0.25)
Thigh
0.25 to 15 sec
0.25 to 1 sec (increments of 0.05)
: AP
1 to 4 sec (increments of 0.1)
4 to 15 sec (increments of 0.25)
0.25 to 18 sec
0.25 to 1 sec (increments of 0.01)
: N
1 to 4 sec (increments of 0.1)
4 to 18 sec (increments of 0.25)
Tlow
0.25 to 18 sec
0.25 to 1 sec (increments of 0.05)
: AP
1 to 4 sec (increments of 0.1)
4 to 18 sec (increments of 0.25)
: 0.1 to 0.8 sec (increments of 0.01) N
0.25 to 1.5 sec
: 0.25 to 1 sec (increments of 0.05) P
Tsupp 1 to 1.5 sec (increments of 0.1)
0.25 to 4 sec
: 0.25 to 1 sec (increments of 0.05) A
1 to 4 sec (increments of 0.1)
: 0.25 to 59.75 sec AP
Expiratory time : 0.25 to 29.9 sec Invasive vent modes N
: 0.5 to 59.75 sec for NIV AP
0 to 500 ms of inspiratory period for pressure
depending on the mode selected.
Rise time : Active in APRV, A/C PC, A/C PRVC, SIMV PC,
SIMV PRVC, BiLevel VG, NIV and BiLevel
(increments of 50 ms)
0 to 500 ms of inspiratory period for pressure supported
breaths only.
PS Rise Time : Active in SIMV VC, SIMV PC, SIMV PRVC,
CPAP/PS, BiLevel VG, BiLevel and VS
(increments of 50 ms)
Trigger window : 80% of expiration time

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 0.2 to 1 L/min (increments of 0.05 L/min)
: 1 to 3 L/min (increments of 0.1 L/min) N
Insp Trigger, flow 3 to 9 L/min (increments of 0.5 L/min)
1 to 3 L/min (increments of 0.1 L/min)
: AP
3 to 9 L/min (increments of 0.5 L/min)
: –10 to –3 cm H2O (increments of 0.5 cm H2O)
Insp Trigger, pressure
: –3 to –0.25 cm H2O (increments of 0.25 cm H2O)
: 2 to 10 L/min (increments of 0.5 L/min)
Bias flow rate : 2 to 15 L/min (increments of 0.5 L/min) for nCPAP N
: 8 to 20 L/min for NIV (increments of 0.5 L/min) AP
Insp. pause : 0 to 75% of inspiration time (increments of 5%)
0 to 7.5 sec
0 to 1 sec (increments of 0.05)
: N
1 to 4 sec (increments of 0.1)
4 to 7.5 (increments of 0.25)
Tpause
0 to 11 sec
0 to 1 sec (increments of 0.05)
: AP
1 to 4 sec (increments of 0.1)
4 to 11 (increments of 0.25)
0 to 60 cm H2O for SIMV VC, SIMV PC,
: SIMV PRVC, BiLevel, BiLevel VG and CPAP/PS
Pressure support from PEEP level (increments of 1 cm H2O)
0 to 30 cm H2O for NIV
: AP
(increments of 1 cm H2O)
5 to 80% of peak flow for NIV, SIMV VC,
Expiratory Trigger : SIMV PC, SIMV PRVC, BiLevel, BiLevel VG,
VS and CPAP/PS (increments of 5%)

Alarm Settings
Tidal volume
Low : Off, 1 to 1950 mL
High : 3 to 2000 mL, Off
Minute volume
Low : 0.01 to 40 L/min
High : 0.02 to 99 L/min
Respiratory rate
Low : Off, 1 to 99/min
High : 2 to 150/min, Off
Inspired oxygen (FiO2):
Low : 18 to 99%
High : 24 to 100%, Off
Pmax
7 to 100 cm H2O
High :
9 to 100 cm H2O in NIV and nCPAP
Ppeak
Low : 1 to 97 cm H2O
PEEPe
Low : Off, 1 to 20 cm H2O
High : 5 to 50 cm H2O, Off
PEEPi
High : 1 to 20 cm H2O, Off AP
Plimit : 7 to 100 cm H2O
Apnea alarm : 5 to 60 sec
Circuit leak : 10 to 90%, Off
EtO2 (*)
Low : Off, 10 to 99%
High : 11 to 100%, Off AP

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 EtCO2 (*)
Off, 0.1 to 14.9%
Low :
Off, 0.5 to 114.5 mmHg
0.2 to 15%, Off
High : AP
1 to 115 mmHg, Off
When adjusting selected ventilator parameters,
Ventilation soft limit indicators : color indicators show when parameters
are approaching their setting limits.
Pmax, PEEP, Pinsp, PS, Tinsp, RR, I:E,
Parameters with soft limits :
Phigh, Pmin, Plow, Thigh and Tlow

Alarm System
High priority alarms escalate to a higher pitch
Escalating alarms :
if unattended for specified time
Adjustable to : 0, 10, 20 and 30 sec, Off
Alarm limits calculated on the current
Auto limits :
measured values for selected parameters

Procedures
Suction
Program routine : Automatic
≤ 2 minutes with 100% O2
Pre-oxygenation :
with automatic disconnection detection (**)
≤ 2 minutes with automatic patient
Standby pause :
(re-connection) detection
Post-oxygenation : ≤ 2 minutes with 100% O2 (**)
Note : FIO2 can be set to level other than 100%
Manual breath
Auto PEEP (includes PEEPi Volume)
: PØ.1
Lung Mechanics : NIF
: Vital Capacity
: 2 to 15 sec (increments of 1 sec) PN
Inspiratory hold
: 15 to 40 sec (increments of 5 sec) A
: 2 to 20 sec (increments of 1 sec) PN
Expiratory hold
: 20 to 60 sec (increments of 5 sec) A
(Adjustable range: 15 min, 30 min, 45 min,
Spontaneous Breathing Trial (SBT) :
1 h, 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h)

Spirometry
Ventilator or Compact Airway Module
: (E-COV, E-COVX, E-CAiOV, E-CAiOVX, AP
Data source
E-sCOV, E-sCAiOV) *
: Ventilator or Neonatal Flow Sensor N
Pressure-Volume, Pressure-Flow
Loop types :
and Flow-Volume
Saved loop : Up to six loops can be saved
A saved loop can be selected as the reference loop to
Reference loop :
compare with the current loop being displayed
Freezes current loops and provides numeric display of X
Cursor :
and Y axis as cursor moves across loops
Ppeak, Pplat, Pmean, PEEPe, PEEPi,
Pulmonary mechanics : VTinsp, VTexp, MVinsp, MVexp,
Compliance and Resistance, I:E

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Auxiliary Pressure
Auxiliary pressure (Paux)
Measured range : -20 to +120 cm H2O
Alarm range : 12 to 100 cm H2O
Purge flow : Low flow to clear the Paux line, can be turned Off

SpiroDynamics (optional)
Note: Not available when Neonatal patient type is selected
• Tracheal Pressure – Volume loop displayed
• Dynostatic Curve displays calculated alveolar pressure
• Tracheal pressure measured via GE’s intratracheal pressure sensor
– Connects directly to CARESCAPE R860’s auxiliary pressure port
• 3 point compliance measurement
– at 5-15% of the breath
– at 45-55% of the breath
– at 85-95% of the breath
• Store up to 6 SpiroDynamic loops
• Store up to 6 Dynostatic curves
• Overlay loops and/or curves over current loop
• Cursor available across all displayed loops and curves
– Pressure and volume values displayed at cursor position
• Ppeak, PEEPe, Compliance and Pmean

FRC INview (optional)

Note: Not available when Neonatal patient type is selected
• Functional Residual Capacity measurement
– Wash-in and Wash-out method provides 2 separate FRC measurements
• FRC displayed both numerically and graphically
• The most recent 5 FRC procedures displayed
• PEEPe,Cstat and PEEPi displayed with each FRC
• Trend Log records:
– FRC measurements
– Ventilator settings and procedures that may affect the FRC procedure
• Programmable time intervals for automatic FRC measurements

PEEP INview (available with FRC INview) *

Note: Not available when Neonatal patient type is selected. Not available if FRC INview is not available.
• Measures FRC at up to 5 different PEEP levels
• Graphic and numeric display of FRC values
• User selectable beginning and ending PEEP levels
– Ventilator evenly spaces additional PEEP levels
– PEEP levels can either increase or decrease
• PEEPe,Cstat and PEEPi displayed during each FRC measurement

Lung INview (available with SpiroDynamics and FRC INview) *

Note: Not available when Neonatal patient type is selected. Not available if SpiroDynamics and FRC Inview is not available.
• Integrates SpiroDynamics and FRC INview within the PEEP INview procedure
• Measures the amount of volume between the Dynostatic curves at each FRC measurement
• Estimate of recruitment volume

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Vent Calculations
Note: Not available when Neonatal patient type is selected
Data from CARESCAPE R860 and external lab results are used to provide the following values:
• PAO2 – Alveolar partial pressure of oxygen
• AaDO2 –Alveolar arterial oxygen difference
• Pa/FiO2 – Oxygenation index
• PaO2/PAO2 – Alveolar arterial oxygen pressure difference
• CO – Cardiac output
• OI – Oxygen Index
• SpO2/FiO2 – Saturation FiO2 Ratio
• Vd/Vt – Dead space ventilation
• Vd – Dead space volume
• VA – Alveolar ventilation

Non-Invasive Ventilation (NIV) *

Mask ventilation : Yes
Integrated unique leak recognition algorithm

Automatic Patient Detection (APD)

Patient re-connection : Automatic detection in standby
Detection by : Back pressure to Bias-flow

100% O2 ( ↑O2)
Delivers 5 to 75% above current FiO2 setting for ≤ 2 minutes
Delivers 100% O2 for ≤ 2 minutes
Can be adjusted to other O2%

Take Snapshot
Immediate capture and storage of critical data currently on the CARESCAPE R860’s display
: All available waveform data (15 or 30 seconds)
Alarm messages
:
Stored data (Currently active Alarm messages)
: All measured parameters
: All set ventilator parameters
Maximum stored Snapshots : 10 most recent
Ability to cursor across waveforms
Cursor :
for specific measured values

Ventilator Preferences
Establishes the specific ventilator mode and parameters
Backup Mode : used in the event that the ventilator switches to Backup
ventilation
Allows control and setting of the
Tube Compensation :
airway resistance compensation
Allows the user to turn the
Assist Control :
Assist Control capability On or Off
Allows the user to turn the
Leak Compensation :
Leak Compensation capability On or Off
Allows the user to turn On or Off
Trigger Compensation :
compensation for flow triggering

Tube Compensation
Note: Not available when Neonatal patient type is selected
Type of compensation : Electronic tube compensation
Compensation for : Endotracheal and tracheostomy tubes
Tube diameter : 5 to 10 mm
Level of compensation : 25 to 100%

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Mode Families
Allows user adjustment to specify certain parameters that align with the hospital’s current ventilator usage.
Adjustable parameters : Flow and Inspiratory timing
Family 1 : Flow control is On / Insp. Timing is I:E
Family 2 : Flow control is Off / Insp. Timing is I:E
Family 3 : Flow control is On / Insp. Timing is Tinsp
Family 4 : Flow control is Off / Insp. Timing is Tinsp
Family 5 : Flow control is On / Insp. Timing is Tpause

Ventilator Monitoring
Airway pressure : –20 to +120 cm H2O
: 0.1 to 32 L/min N
Patient flow
: 1 to 200 L/min AP
0.5 to 1,000 mL with the Neonatal Flow Sensor
: N
Tidal volume 1 to 1,000 mL without the Neonatal Flow Sensor
: 5 to 2,500 mL AP
Minute volume : 0 to 99.9 L/min
CO2 (*) : 0 to 15%/0 to 113 mmHg AP
Compliance : 0.1 to 150 mL/cm H2O
Resistance : 1 to 500 cm H2O/L/s
RQ (*) : 0.6 to 1.2 AP
VO2 (*) : 20 to 1000 mL/min AP
VCO2 (*) : 20 to 1000 mL/min AP
0 to 150 breaths per minute
: N
(increments of 1 breath per minute)
Rate
0 to 120 breaths per minute
: AP
(increments of 1 breath per minute)
FiO2 : 10 to 100%
Rapid Shallow Breathing Index (RSBI) : 1 to 999 bpm/L AP

Oxygen Monitoring
Technology : Dynamic Paramagnetic Oxygen monitoring system
Life span : Non-depleting technology

Screen
38 cm/15 inch touch screen full color LCD
Display type :
adjustable viewing angle
Waveforms in screen : Up to four at a time
Pressure, flow, volume, CO2, O2
Waveform parameters :
and auxiliary pressure
Automatic scaling for optimal size
Graphic scaling :
or independent scaling
Control parameters, patient data, alarm settings
Data :
and messages
Status indicator : Ventilation mode, battery level, clock
9 procedure Hyperlink shortcuts to choose
Favorites :
from 4 selectable at one time

Ventilator Monitoring Accuracy***

Pressure readings : ±2 cm H20
Pressure reading accuracy may decrease with use of HME
±10% or ±1 mL, whichever is greater
(with proximal neonatal flow sensor)
: N
Volume readings ±10% or ±5 mL, whichever is greater
(without proximal neonatal flow sensor
: ±10% or ±10 mL, whichever is greater AP

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 O2 concentration monitor : ±2.95%
Note that these values are only true if you do not have a leak and have no pneumatic nebulizer flow.

Delivery Accuracy***
Inspired pressure control : ±2 cm H2O
Oxygen – Air mixing : ±2.95% V/V of setting
±10% of setting or ±1 mL, whichever is greater
: N
Tidal volume delivery (with proximal neonatal flow sensor)
: ±10% of setting or ±5 mL, whichever is greater

Nebulization ****
Nebulizer : Aeroneb Nebulizer System built-in
Nebulizer technology : Electronic micro pump
7, 8, 11, 16, 21, 26, 32 min
Nebulizer run time :
Continuous (Aeroneb Solo only)
Volumes correspond to time settings;
Nebulizer delivery volume :
2.5, 3, 4, 6, 8, 10, 12 respectively.
Average 3.1 microns MMAD
Particle size :
(MMAD = “Mass Median Aerodynamic Diameter”)
Residual volume : Average < 0.1 mL
Performance may vary depending upon the type of drug used.
For additional information contact Aerogen or drug supplier.

Pnuematic nebulizer ****

: 1 to 4 L/min (increments of 0.5 L/min) N
Flow compensation
: 1 to 12 L/min (increments of 0.5 L/min) AP

Monitor Module *
E-CO, E-COV, E-COVX, E-CAiO, E-CAiOV,
Compact airway module compatibility (*) : E-CAiOVX, E-miniC, E-sCO, E-sCOV,
E-sCAiO, E-sCAiOV
Note: The CARESCAPE R860 does not utilize the Ai,
(inhaled anesthesia) feature of the compact airway modules at this time.
Note: The CARESCAPE R860 does not utilize any of the compact airway modules
when the Neonatal Option is in use.

Trends
Trend data : Set parameters and measured data
Trend styles : Measured and graphic
Maximum trending : 72 hours
15 min, 30 min, 45 min,
Trend scaling :
1 h, 1.5 h, 2 h, 4 h, 6 h, 8 h
Resolution : 1 minute intervals

External Communications
2 Serial port (RS-232), RS-422 port
Communication ports :
(service support), nurse call

Electrical Specifications
Line supply
Line voltage : 190 to 264 Vac, 47/63 Hz
Power consumption : < 200 VA
Battery supply
Back-up battery : Built-in
Type : Lead acid gel
Up to 85 minutes, 30 minute minimum,
Battery back-up time :
battery fully charged

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 Gas supply
Single gas operation : Yes
Emergency air valve : Built-in
Oxygen supply
Pressure range : 240 to 650 kPa / 35 to 94 psi
Flow : 160 L/min
Air supply
Pressure range : 240 to 650 kPa/35 to 94 psi
Flow : 160 L/min

Environmental Specifications
Thermal
Operating range : 10° to 40°C
Storage range : –20° to 60°C
Humidity
Operating range : 15 to 95% RH Non-condensing
Storage range : 15 to 75% RH Non-condensing
Vibration and shock : System complies with ISO 80601-2-12:2011
:
Altitude :
Operating range : –400 to 3000 m/525 to 800 mmHg
Storage range : –400 to 5860 m/375 to 800 mmHg

Note :
* Optional
** 5 to 75% above current FiO2 setting
*** Ventilation delivery specifications requirements : Operating at ISO 80601-2-12 patient conditions
**** Aeroneb or Pnuematic

Catatan :
Pengukuran dapat sedikit berbeda berdasarkan alat ukur dan kondisi pada lokasi pengukuran
Gambar yang ditampilkan termasuk pada brosur adalah sebagai ilustrasi

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