Citrex H4 Manual EN
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User Manual CITREX H4 IMT Analytics AG Gewerbestrasse 8 9470 Buchs (SG) Switzerland www.imtanalytics.com Table of Contents 1 Introduction 5 2 Intended use 6 Safety instructions 7 3.1 3.2 3.3 3.4 7 7 7 7 3 Representation of hazards, cautions and notes Personnel Responsibility and guarantee Service life 4 Symbol explanation 8 5 Start-up 9 5.1 5.2 5.3 5.4 6 7 8 9 Power supply Mechanical connectors Electrical interfaces Replacing the CITREX battery 10 11 16 17 Operation 18 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 18 18 18 19 20 23 24 24 Switching the device on/off Screen lock Dim screen User controls Settings Numerical readings Graphical readings Filter Calibration 25 7.1 7.2 25 25 Zero point Oxygen (O2) calibration Connecting the device 27 8.1 8.2 8.3 27 28 28 General measurement setup Measurement setup for checking ventilators Measurement setup for gases at high pressure Profile editor 29 9.1 29 Creating a profile 10 Configuration tool 10.1 10.2 10.3 31 PC minimum requirements Web server Monitoring option 31 31 32 11 Reading measurement data 34 11.1 11.2 Saving measurement data on the microSD card Reading the data 12 Servicing and care 12.1 Preventive cleaning and servicing operations 34 34 35 35 13 Accessories and spare parts 13.1 Accessories table 36 36 14 Disposal 37 15 Directives and approvals 38 16 Specifications 39 16.1 16.2 16.3 16.4 16.5 Measurement parameters Interface definition Gas type Power supply Battery operation 17 Appendix 17.1 17.2 17.3 17.4 17.5 17.6 17.7 17.8 Principle of flow measurement Trigger Measurement parameters and units Gas standards for flow and volume readings Conversion factors List of tables List of figures Index 39 41 42 42 42 43 43 43 45 46 47 48 48 49 Introduction 1 Introduction 1 CITREX H4 was developed in order to measure flow and various pressures and thus calculate a large number of ventilation parameters. CITREX H4 is a compact, mobile and easy-to-operate measuring instrument. The integrated oxygen sensor makes it possible for users to determine the oxygen concentration. The instrument is controlled using 4 buttons on the front of the device and it has a large number of different interfaces for data analysis. The descriptions and instructions in this manual refer to the product CITREX H4. In this User Manual the unit "sL/min" is based on ambient conditions of 0 °C and 1013.25 mbar in accordance with DIN 1343. This documentation applies to the following versions: CITREX H4 software: CITREX H4 hardware: 4.1.000 4.0 In the case of older or newer versions there may be discrepancies in relation to this User Manual. Subject to technical modifications without notice. To avoid possible injuries, please read all the safety instructions before you use the product. The device is not intended for use outside a building. IMT Analytics AG 5 Intended use 2 Intended use This product is intended for testing and calibration purposes on medical devices or systems that generate gas flows or gas pressures. That includes ventilators and anaesthetic equipment. The user of the device has received training on how to use medical equipment and can perform repairs, maintenance and servicing on medical devices. The device can be used in hospitals, in clinics, at device manufacturers or at independent service companies that perform repairs or servicing operations on medical devices. 22 CITREX H4 is intended for use in a laboratory environment. It may only be used outside the nursing sector. It must not be used directly on patients or devices that are connected to patients. The measuring instrument CITREX H4 is intended for overthe-counter sale. With CITREX H4 you have the solution for measurements in the following areas: • • • • • • • Flow Volume Differential pressure High pressure Ambient pressure Oxygen Temperature In addition, various ventilation parameters can be measured: • • • • • • • • • • Ventilation rate Time Ratio Ti / Tcyc Tidal volume Minute volume Peak flow Pressure Compliance Trigger CITREX H4 is a measuring instrument for checking and calibrating ventilators and anaesthetic equipment. It must not be used for patient monitoring. During patient treatment by the ventilator it is not allowed to connect to CITREX H4. It is not allowed to measure liquids with CITREX H4. 6 IMT Analytics AG Safety instructions 3 Safety instructions Please read all the safety instructions carefully before you use CITREX H4. 3.1 Representation of hazards, cautions and notes This User Manual uses the representation below to specifically draw attention to residual risks during intended use and emphasise important technical requirements. Information and/or instructions and prohibitions to prevent damage of any kind, as well as useful tips and information for handling the device, will be indicated by the following icon: 3.2 Personnel 3.3 Responsibility and guarantee Work on and with CITREX H4 may only be performed by persons who have undergone appropriate technical training and have the necessary experience. The manufacturer accepts no responsibility or guarantee and will exempt itself from liability claims accordingly if the operator or any third parties: • • • • Fail to use the device in accordance with its intended use. Disregard the specifications. Tamper with the device in any way (conversions, modifications or the like). Operate the device with accessories that are not listed in the associated sets of product documentation. Although the device meets high quality and safety standards and it has been constructed and tested according to the current state of the art, it is not possible to rule out the risk of injuries with serious consequences if the device is used in non-compliance with the intended use (improperly) or is misused. Therefore please read through this User Manual carefully and keep this documentation in a readily accessible place close to your device. 3.4 Service life IMT Analytics AG The maximum service life of the device has been specified as 10 (ten) years, provided it is handled properly in accordance with this User Manual. 7 3 Symbol explanation 4 Symbol explanation The symbols listed below may appear on the packaging material, on the device rating plate and in the User Manual of the CITREX H4 measuring instrument. RS-232 interface USB interface 4 SN BBXXXX Serial number Analog interface CAN CAN interface Ethernet interface On/Off button SD card Fragile contents Keep dry Read the User Manual The device must not be disposed of in household waste The device is CE approved Caution: observe the safety instructions in the User Manual Reusable packaging Manufacturer's specification and date of manufacture Keep away from heat Temperature range for storage and transport CSA monogram with C/US indicator California Energy Commission Compliant Table 1: Symbol explanation 8 IMT Analytics AG Start-up 5 Start-up CITREX H4 Power supply plug with country-specific adapters USB cable 5 MicroSD card Dust filter RT019 Laminar inlet pipe CITREX carrying case Network cable Car adapter Adapter set Table 2: Scope of delivery IMT Analytics AG 9 Start-up 5.1 Power supply CITREX H4 can be operated from the mains or from the integrated battery. Power can be supplied via the USB port (Mini B), the analog interface or the CAN interface on the top of CITREX H4. Use the power supply unit included to charge the battery or operate the device via the USB port. You will find more information about power supply and how to configure the plugs in the section "Electrical interfaces". During the charging process a green battery symbol is lit on the front. Please connect the power supply unit included to a voltage of 100 VAC to 240 VAC with a frequency of 50 Hz to 60 Hz. 5 Analog interface CAN interface USB port Figure 1: Power supply Before switching on, make sure the operating voltage of the power supply unit agrees with the local mains voltage. You will find this information on the rating plate on the back of the power supply unit. When operating CITREX H4 via the USB port only use the original power supply unit included! The device indicates visually and audibly when the battery has to be charged. Please do not store the battery in a depleted state. Caution: depletion can damage the battery beyond repair! 10 IMT Analytics AG Start-up 5.2 Mechanical connectors 5.2.1 Flow channel The flow channel can be used bidirectionally. The positive flow direction is from left to right, viewed from the front of the device. The measurements of volume, flow, gas temperature, oxygen and channel pressure are taken in the flow channel. The values, and the ventilation parameters calculated from them, can be displayed on the screen. You will find the relevant setting options in the section "Operation". Flow (air) Volume Temperature Oxygen Pressure in flow channel Measuring range ± 300 sL/min Accuracy ± 1.9 % of reading or ± 0.1 sL/min Measuring range 0 – 10 sL Accuracy ± 2 % of reading or ± 0.02 sL Measuring range 0 – 50 °C Accuracy ± 1.75 % of reading or 0.5 °C Measuring range 0 – 100 % Accuracy ± 1 % O2 Measuring range −50 – 150 mbar Accuracy ± 0.75 % of reading or ± 0.1 mbar 5 Flow channel Figure 2: Flow channel IMT Analytics AG 11 Start-up 5.2.2 Differential pressure This pressure connector measures the difference in pressure between the two connectors. If only one connector is used for a measurement, pressure measurement takes place at ambient pressure. The measuring range is −200 mbar to +200 mbar. Please comply with the maximum permissible pressure at the connector. The sensor values from this pressure sensor can be displayed in the menu with the parameter " PDiff ". 5 Differential pressure connector Figure 3: Differential pressure connector Measuring range ± 200 mbar Accuracy ± 0.75 % of reading or ± 0.1 mbar Pressures above 1 bar damage the differential pressure sensor beyond repair! 12 IMT Analytics AG Start-up 5.2.3 High pressure The high-pressure connector measures the applied pressure up to 10 bar. It is recommended that the differential pressure connector be used for measurements up to 200 mbar. It is up to 100 times more accurate. The sensor values measured can be displayed with the parameter " PHigh ". The high-pressure connector can be fitted with a DISS adapter for air and oxygen. You will find the ordering code in the section "Accessories and spare parts". 5 High-pressure connector Figure 4: High-pressure connector Measuring range 0 – 10 bar Accuracy ± 1 % of reading or 10 mbar Pressures above 15 bar damage the high-pressure sensor beyond repair! Do not use a tool to tighten the adapter on the high-pressure port since this can damage the plastic casing. Please only tighten manually. IMT Analytics AG 13 Start-up 5.2.4 Oxygen sensor CITREX H4 can measure the oxygen concentration in the flow channel. To do so, an oxygen sensor is screwed into the appropriate port. The oxygen sensor has to be connected to the measuring instrument using the cable included. The following steps explain how to install and replace the oxygen sensor. Oxygen sensor holder 5 Figure 5: Oxygen sensor holder Measuring range 0 – 100 % Accuracy ± 1 % O2 (absolute) 5.2.5 Installing the oxygen sensor 1. Remove the protective cap from the sensor port of the device. Figure 6: Protective cap 14 IMT Analytics AG Start-up 2. Screw the oxygen sensor clockwise into the appropriate port. Make sure the sensor seals off the port and there is no leak. 5 Figure 7: Screwing in the oxygen sensor 3. Connect the cable included to the oxygen sensor by pushing the cable into the hole at the top of the sensor until the cable locks into place. Connect the other end of the cable to CITREX H4 by inserting it into the hole provided, which is labelled "O2". Figure 8: Oxygen sensor cable 4. Perform an oxygen calibration. The calibration procedure is described in the section "Calibration". Calibration ensures that the measured values of the new sensor are correct. IMT Analytics AG 15 Start-up 5.3 Electrical interfaces Figure 9 shows the available electrical interfaces of CITREX H4. 7 6 5 4 3 2 1 5 Figure 9: Electrical interfaces 1 MicroSD card slot 2 O2 interface 3 USB port 4 Analog OUT 5 RS-232 6 CAN 7 Ethernet The firmware of CITREX H4 is stored on the microSD card. It also contains customised configurations and test reports can be saved on the memory card. You will find more information in the section "Reading measurement data". The oxygen sensor is connected to CITREX H4 via the O2 interface. You will find further information on this in the section "Oxygen sensor". The USB port is used to operate the device from the mains power supply and to charge the device battery but it can also be used as a data interface. It is a " USB Mini-B port". The Analog Out port is used for reading analog signals. It is also possible to connect an external trigger. Two ports are reserved for mains operation and charging the device battery. You will find the ordering code for the matching connector in the section "Accessories and spare parts". You will find additional technical information about the port in the section "Interface definition". The RS-232 port is used as a data interface. In the section "Interface definition " you will find further information about the interface. The CAN interface is prepared in the device but at present it is not yet supported by the firmware. The CAN interface can be used for charging the device battery. You will find information about the port in the section "Interface definition". The Ethernet interface is used to configure the device and it is used as a data interface. You will find more information in the section "Reading measurement data". Table 3: Description of electrical interfaces 16 IMT Analytics AG Start-up 5.4 Replacing the CITREX battery The battery of CITREX H4 can be replaced by the user. To do so, undo the two screws on the back of the device and remove them. Then the battery can be removed and replaced. Check to make sure the new battery is inserted properly. For this purpose the terminals must be above one another. 5 Figure 10: Replacing the battery IMT Analytics AG 17 Operation 6 Operation This section describes how to use the device and what possible uses there are. 6 6.1 Switching the device on/off The device is switched on and off at the On/Off button. Figure 11, section "User controls", shows where this button is located on the device. To switch CITREX H4 on you must press the On/Off button briefly. You will hear an audible signal. To switch the device off you must press the On/Off button for about 1 second. If the device can no longer be controlled, you have the option of pressing the On/Off button for about 6 seconds. The device is then forced to shut down. 6.2 Screen lock Press the context button on the side of the device for 2 seconds. The screen shows a message indicating that the screen is locked. To unlock the screen, press and hold down the context button or one of the four buttons on the front for 2 seconds. 6.3 Dim screen If the device is not operated by the user, the display of CITREX H4 shuts down after about one minute and the four buttons start to flash. As soon as a button is pressed, the screen comes on again. The setting for how long it takes until the display is dimmed can be customised using the configuration tool. You will find further information on this in the section "Configuration tool". 18 IMT Analytics AG Operation 6.4 User controls 1 2 10 3 9 8 6 7 6 5 4 Figure 11: User controls 1 Change, Edit 2 Context button; long press: key lock on/off 3 On/Off button 4 Menu button; zero point adjustment 5 Charge indicator 6 Flow direction indicator 7 Screen 8 Measurement values 9 Malfunction indicator 10 Display readings and scroll back Table 4: User controls IMT Analytics AG 19 Operation 6.5 Settings With the × button you return to the Settings menu. By pressing the button more than once you can view the various settings of the measuring instrument. 6.5.1 Info display This display provides information about the owner, the company, the next recommended calibration, the software version and the hardware revision. Settings concerning the owner can be edited with the configuration tool. 6 Figure 12: Info display 6.5.2 Battery indicator The battery indicator informs you about the level of the battery charge. Figure 13: Battery indicator 6.5.3 Ethernet interface Here it is possible to make various settings for the network connection. With the button you can choose between the options "DHCP Client", "Default" and "Configured". The setting does not have to be confirmed and it is enabled as soon as it is visible on the screen. More information about the settings is available in the section "Web server". Figure 14: Ethernet interface 20 IMT Analytics AG Operation 6.5.4 Trigger With the trigger settings the start and end points of a ventilation parameter are defined. Three preset triggers are available. With the button you can select the trigger "Adult", "Pediatric" or "High Frequency". The trigger settings do not have to be saved and they are enabled as soon as they are displayed on the screen. It is possible to differentiate between flow trigger, pressure trigger and external trigger. The settings can be changed with the configuration tool. You will find further information on this in the section "Configuration tool". 6 Figure 15: Trigger The preset trigger settings are defined as follows. Adult 3 L/min Rising edge Pediatric 1 L/min Rising edge High Frequency 3 L/min Rising edge Stop − 3 L/min Falling edge − 1 L/min Falling edge − 3 L/min Falling edge Delay 60 ms 60 ms 10 ms Base flow 0 L/min 0 L/min 0 L/min Start Table 5: Trigger settings 6.5.5 Gas standard The CITREX H4 measuring instrument can convert gas flow and volume readings to various gas standards and display them. Care must be taken to ensure that on the measuring instrument the same gas standard is set as the one on the device being tested. With the button you can switch between the various gas standards. As soon as a gas standard is displayed, it is enabled. There is a list of available gas standards in the Appendix in the section "Gas standards for flow and volume readings". Figure 16: Gas standard IMT Analytics AG 21 Operation 6.5.6 Gas type Under this menu item the gas type to be measured can be set. With the button you can switch between gas types. The gas type indicated is enabled and does not have to be saved. In the section "Gas type" there is an overview of available gas types. Gas types with adjustable oxygen concentrations, e.g. "Air O2 manual", can be changed with the configuration tool. Figure 17: Gas type 6 6.5.7 Gas humidity The gas humidity of the gas being measured can be set. This has an impact on gas flow measurement. With the button the gas humidity can be changed in steps of 10. The value is enabled as soon as it is displayed on the screen. Figure 18: Gas humidity 6.5.8 Setting the X-axis Here the time axis of the graph view can be set. 2, 4, 6, 8 and 10 seconds are available for selection. The setting can be changed with the button. Figure 19: Setting the X-axis 22 IMT Analytics AG Operation 6.5.9 O2 calibration The process of oxygen calibration is described in the section "Calibration". With the button you can choose between one-point calibration and two-point calibration. Press the button to start calibration. Figure 20: O2 calibration 6.5.10 Profiles With this settings item it is possible to call up and load the saved and preset profiles. The button switches between the available profiles and with the button the profiles can be loaded. In CITREX H4 the following profiles are already integrated when delivered: "Factory defaults", "Imperial units" and "Metric units". With the profile editor you can create and save your own profiles. The procedure is explained to you in the section "Creating a profile". Figure 21: Profiles 6.6 Numerical readings With the button on the front of CITREX H4 you can display the various numerical readings. If you press more than once, the view on the screen changes. The different views can be configured by web server. The web server and how to make the settings are explained in the section "Web server". 1, 2, 4 and 6 readings can be displayed in each configured view. Figure 22: Numerical readings IMT Analytics AG 23 6 Operation 1 Gas standard 2 Trigger signal 3 Gas type 4 Reading 5 Measurement parameter 6 Unit of measurement 6 The measured volume readings or gas flow readings can be displayed with various gas standards. There is a list of standards in the Appendix in the section "Gas standards for flow and volume readings". The icon appears as soon as a trigger condition is fulfilled. This means that the time of appearance of the indicator is identified as the start of inspiration. The indicator appears for 0.5 seconds. If this signal is not displayed, the trigger settings should be adjusted for the current ventilation mode. The gas type currently set is displayed as text. It can be customised on the device under Settings. This shows the current reading in the selected unit of measurement. Indicates the measurement parameter currently selected. Measurement parameters can be changed in configuration; see section "Configuration tool". Indicates the unit of measurement currently selected. Units of measurement can be changed in configuration; see section "Configuration tool". Table 6: Numerical values 6.7 Graphical readings By pressing the icon on the front of CITREX H4, parameters currently being measured can be displayed in the form of graphs. For each screen view there are one and two measurement curves available for selection. The relevant parameters and units of measurement can be set using the configuration tool. You will find a description of this in the section "Configuration tool". Figure 23: Measurement curves 6.8 Filter The screen of CITREX H4 is refreshed every 0.5 s. The recording of readings takes place every 5 ms. Since CITREX H4 can record and display readings very quickly, it is advisable to filter the readings. This is performed using a mean value. The extent to which a reading is filtered can be set using the configuration tool. The following filters are available: • No filter (indication of the last value measured without any threshold) • Low (mean above 240 ms) • Medium (mean above 480 ms) • High (mean above 960 ms) The "high" filter is set by default. 24 IMT Analytics AG Calibration 7 Calibration The various calibration options with CITREX H4 are described in this section. To avoid incorrect measurements you must adhere to the procedures described here. 7.1 Zero point This adjustment is necessary if indication of the differential pressure sensor (Pdiff), the high-pressure sensor or a flow through open connection ports shows a value greater or less than zero. This can occur if there are considerable temperature fluctuations, or after the warming-up time. Zero calibration resets all values to zero. To perform zero calibration you must remove all connected tubes from the device. Press the icon and keep it pressed for approx. 3 seconds. The screen shows a message "Zero Offset – Calibrating, please wait". 7 Figure 24: Zero calibration When you have switched on the device, individual displays may deviate slightly from the zero point until operating temperature has been reached. Zero calibration should never be performed with the device cold. Warming-up time is approx. 10 minutes. During zero calibration there must be no pressure being applied to a connection port, and care must be taken to ensure that there is no flow through the flow channel. 7.2 Oxygen (O2) calibration IMT Analytics AG There are two different methods of calibrating the oxygen cell. The variant in which the oxygen cell is calibrated with air only takes about two minutes. The second variant consists of calibrating the oxygen cell with air and 100 % oxygen. This so-called two-point calibration adjusts the oxygen sensor more accurately and takes about four minutes. Calibration can be selected by pressing the button more than once. 25 Calibration 7.2.1 Calibration with air Make sure air is flowing through the flow channel at a rate of at least 30 L/min. To start calibration, press the button until you see the menu item "O2 Calibration". With the button you can switch between air and air and oxygen (O2). Select the button until "Air" appears on the screen in green letters. To start calibration, press the button. Figure 25: Screen displays "Calibration Air" 7 7.2.2 Calibration with oxygen and air For calibration of the oxygen cell with oxygen and air a gas flow of 30 L/min is used in each case. Press the button until you see the menu item "O2 Calibration". With the button you can switch between air and air and oxygen (O2). Press the button until the screen shows "O2 and Air" in green letters. To start calibration, press the button. Calibration for air and oxygen takes 120 seconds for each one. Figure 26: Screen displays "Calibration Oxygen and Air" 26 IMT Analytics AG Connecting the device 8 Connecting the device The measurement setup for CITREX H4 has an impact on flow measurement. To obtain results that are as accurate as possible, comply with the instructions in this section. It is important to ensure that the tubing in the measurement setup does not have any radii, kinks or dents. You are also recommended to always use the inlet pipe and the dust filter. The measured gases must be free of oil, grease and dust. 8.1 General measurement setup The general measurement setup applies to gas flow measurement. The RT019 filter included and the inlet pipe must be used. This ensures laminar flow to the flow sensor unit. The filter also prevents dust, oil and grease from contaminating the CITREX H4 measuring instrument and thus prevents discrepancies in measurement results. The measurement setups shown below are dependent on the direction of gas flow being measured. CITREX H4 ATP CITREX H4 ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 Air O2 man Ppeak mbar 25 PEEP mbar 5 8 CITREX H4 ATP CITREX H4 ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 Air O2 man Ppeak mbar 25 PEEP mbar 5 Figure 27: General measurement setup CITREX H4 ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 The measurement setups listed below are unsuitable and produce inaccurate measurement results. Kinks, tees and angle pieces should be avoided in the flow channel. They cause turbulence in the gas being measured and hence inaccurate or incorrect measurement results. CITREX H4 ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 CITREX H4 ATP Ppeak mbar CITREX H4 Air O2 man ATP 25 Bad setup: Kinks, tees, angle pieces at the device inlet 5 PEEP mbar CITREX H4 ATP Ppeak mbar PEEP mbar CITREX H4 Air O2 man ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 ATP Air O2 man 25 Ppeak mbar 25 5 PEEP mbar 5 PEEP mbar 5 CITREX H4 ATP Air O2 man CITREX H4 ATP CITREX H4 ATP Air O2 man Air O2 man Ppeak mbar 25 Ppeak mbar 25 Ppeak mbar 25 PEEP mbar 5 PEEP mbar 5 PEEP mbar 5 Figure 28: Bad setup Air O2 man Ppeak mbar 25 PEEP mbar 5 CITREX H4 ATP CITREX H4 ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 EasyLung EasyLung CITREX H4 ATP IMT Analytics AG A 25 Ppeak mbar Air O2 man Ppeak mbar 25 PEEP mbar 5 27 Connecting the device CITREX H4 ATP 8.2 CITREX H4 Air O2 man ATP CITREX H4 ATP Air O2 man Air O2 man Ppeak mbar 25 Ppeak mbar 25 Ppeak mbar 25 PEEP mbar 5 PEEP mbar 5 PEEP mbar 5 Measurement setup for checking ventilators CITREX H4 is ideal for checking ventilators. The best measurement results are achieved with the measurement setup shown below. Make sure the test lung is connected to the grey aluminium connection port of CITREX H4. Breathing circuit Filter Inlet pipe EasyLung CITREX H4 ATP Air O2 man Ppeak mbar 25 PEEP mbar 5 Test lung CITREX H4 Figure 29: Measurement setup for checking ventilators 8.3 8 Measurement setup for gases at high pressure CITREX H4 compensates for the gas pressure during flow measurement. In the flow channel, gas pressures up to 150 mbar are compensated. For gases at higher pressures the high-pressure sensor can be used. For this purpose connect the device outlet to the high-pressure sensor. In the menu "Settings", "Measurement" you must also switch the "Pressure Compensation" setting to "Pressure High". In the flow channel, pressures up to 150 mbar can be compensated. In conjunction with the high-pressure sensor, pressures up to 300 mbar can be compensated. Pressures in the flow channel above 800 mbar can damage the device. 1MPa (10bar) 1MPa (10bar) Figure 30: Measurement setup for gases at high pressure 28 IMT Analytics AG Profiles 9 Profile editor The user has the option of saving different profiles to suit personal requirements. To be able to use the profile editor it is essential to have Microsoft Internet Explorer with the browser plug-in Silverlight. 9.1 Creating a profile To create a profile, remove the SD card from CITREX H4 and connect it to your PC via an SD card reader. Then open the drive of the SD card. There you will find the file "ProfileEditor.html", which has to be opened using Internet Explorer, resulting in the picture below. 9 Figure 31: Profile editor in Internet Explorer IMT Analytics AG 29 Profiles Now you can create a new profile by making the settings in the "configuration" menu. Figure 32: Profile editor "configuration" 9 This is where parameters, measurement curves, triggers, interfaces, etc. can be defined. These can be saved, as shown in the picture "Profile editor in Internet Explorer". You can also add a description to the profile. Save the new profile with the "Save profile" button. Save the file in the "Profiles" folder on the SD card. When you have saved the new profile on the SD card, place the card back in CITREX H4 and start the device. The newly created profile can be loaded in the "Profiles" menu. 30 IMT Analytics AG Configuration tool 10 Configuration tool The configuration tool can only be used with Microsoft Internet Explorer. 10.1 PC minimum requirements Microsoft® Silverlight 5 or higher Windows x86 or x64 (64-bit mode only supports IE) 1.6 GHz or higher with 512 MB RAM Macintosh (Intel based) Intel Core Duo 1.83 GHz or higher with 512 MB RAM Microsoft® Windows® 10, 8.1, 8, Windows Server 2012, 7, 7 SP1, Windows Server 2008 SP2, Windows Server 2008 R2 SP1, Vista Macintosh OS 10.6 (Intel based), MacOS 10.7 – 10.11 (Intel based) Ethernet network connection Screen resolution 1024 × 768 (1280 × 1024 recommended) 10.2 Web server The Ethernet port on CITREX H4 enables access to the device via a network. The measured real time data can be tracked and analysed on the computer. Settings can also be made on the device via the web browser using the so-called configuration tool. To be able to use the web server it is essential to have an installed Internet Explorer with Microsoft Silverlight 5. There are three different setting options to establish a connection between CITREX H4 and a computer. Tap the button until the "Ethernet" menu item appears. You will find a description of the settings in the following sections. 10.2.1 Default These are default settings that cannot be changed. These settings are recommended in order to establish a direct connection to the computer via an Ethernet cable. The configuration on CITREX H4 is as follows: IP Address: Subnet Mask: 192.168.1.1 255.255.255.0 To establish a connection, the network settings on the computer must be changed. For this purpose open the network settings of the computer, which are located in the Control Panel. Then open the "Internet Protocol Version 4 (TCP/IPv4)" settings. Enter an IP address between 192.168.1.2 and 192.168.1.255 and subnet mask 255.255.255.0 in the form on the screen. Confirm with "OK". Now open Internet Explorer and enter IP address 192.168.1.1 in the address field. The connection to CITREX H4 is established. IMT Analytics AG 31 10 Configuration tool 10.2.2 Configured This setting option is suitable for connecting CITREX H4 to a network that does not have a DHCP server. Define an IP address and a subnet mask using the configuration tool on CITREX H4. When the settings have been confirmed the device can be connected up to the network and be accessed using the defined IP address via Internet Explorer. 10.2.3 DHCP To connect CITREX H4 to a DHCP server, first connect CITREX H4 to the network. In the "Ethernet" menu select the setting "DHCP" and confirm it with "OK". With the IP address shown on the display it is possible to establish a connection to CITREX H4 via Internet Explorer. 10.3 Monitoring option In the "Monitoring" menu item it is possible to access the measurement data of CITREX H4 via the network. Either numerical readings or graphical measurement curves can be selected. 10.3.1 Numerical readings Here it is possible to directly track real-time measurement data on the computer monitor. Both current readings and a minimum, a maximum and a mean are calculated for each reading. Statistical analysis can be restarted by pressing the "Reset" button. There is also the option of exporting the readings currently being displayed. To do this, press the "Export" button: an Explorer window opens in which you can select the storage location and the storage type. There are XML files (*.xml) and CSV files (*.csv) available for selection. 10 Figure 33: Monitoring numerics 32 IMT Analytics AG Configuration tool 10.3.2 Graphical readings Here it is possible to directly track real-time curves on the computer monitor. Select the required reading using the pull-down menu. By pressing the "Run" button it is also possible to record readings for 300 seconds. Recording can be terminated by pressing the "Freeze" button. If you have recorded a measurement, you can move the slider into the desired measuring time in order to analyse the period here. Incidentally, it is not only the displayed measurement curves that are recorded; all the readings available for selection are also recorded. There is also the option of exporting the measurement curves currently being displayed. To do this, press the "Export" button: an Explorer window opens in which you can select the storage location. The curves can be saved in the form of a PNG file. 10 Figure 34: Monitoring panels IMT Analytics AG 33 Reading measurement data 11 Reading measurement data The files on the microSD card must not be renamed or deleted under any circumstances. Measurement data can be read via the microSD card, via the Analog OUT interface or via the RS-232 interface. For information about using these interfaces please contact your dealer or IMT Analytics directly. 11.1 Saving measurement data on the microSD card Press the button and keep it pressed for approx. 3 seconds. A snapshot of all the parameters is taken in a CSV file and saved on the SD card. 11.2 Reading the data The data can be read directly from the SD card. For this purpose you must disconnect the SD card from CITREX H4 by pressing the SD card once. It is possible to connect the card to your computer directly using an SD card reader. The memory card of CITREX H4 contains the following data and folders. Folder or file DATA LOGS 11 *.CFG, *.SCR, *.TRG files Formatter\SetupReportFormatter.bat Formatter\AboutReportFormatter.txt Formatter\ReportFormatter.xlsb Clientaccesspolicy.xml index.html USB-Driver\usb_cdc_ser.inf Description In this directory you will find the readings that have been saved. CITREX H4 continuously records information about its functions and saves it in the form of log files. This data is only used for remedying malfunctions and resolving issues. CFG, SCR and TRG files are required by CITREX H4 to activate internal processes. This batch file is required to format saved data in an Excel file. This TXT file describes the procedure for formatting saved data in an Excel file. This is the actual Excel file template in in which the saved data is formatted. This file is required for the configuration tool. This file is required for the configuration tool. Driver for the USB device identification. Table 7: Folder structure of CITREX H4 34 IMT Analytics AG Servicing and care 12 Servicing and care Careful servicing in compliance with the instructions is essential for ensuring that CITREX H4 operates safely and efficiently. Only components recommended by the manufacturer may be used. It is absolutely essential to comply with the guidelines and servicing instructions issued by the various manufacturers. The servicing operations listed below may only be performed by persons who are familiar with CITREX H4. All further repair work may only be performed by authorised trained professionals. Please also observe the information issued by the various manufacturers. 12.1 Preventive cleaning and servicing operations To ensure that your device operates with precision and reliability for as long as possible, it is essential to perform the following servicing routines regularly. 12.1.1 During operation Use of the filter included and the inlet pipe in order to protect the device against contamination. Make sure the device is only used inside a building. 12.1.2 Every 4 weeks Check the bacterial filter for soiling. For this purpose the inlet and outlet of the filter must be connected to the differential pressure port using two tees. In this way the pressure drop above the filter can be measured. The pressure drop must not exceed a value of 2 mbar at a flow of 60 L/min. Otherwise the filter must be replaced. 12.1.3 Every 12 months Factory calibration and servicing to ensure reliable measurement; it may only be performed by IMT Analytics or an authorised partner. To have CITREX H4 calibrated at the manufacturer's, IMT Analytics, visit the website www.imtanalytics.com/easycal The EasyCal service makes it possible for users to have CITREX H4 calibrated and adjusted quickly and easily. The annual servicing procedure is also performed. IMT Analytics AG 35 12 Accessories and spare parts 13 Accessories and spare parts On the website www.imtanalytics.com you will find the original spare parts and other products from IMT Analytics. Ordering address: IMT Analytics AG Gewerbestrasse 8 CH-9470 Buchs, Switzerland Tel: +41 (0) 81 750 67 10 Email: sales@imtanalytics.com Orders can also be placed in our Webstore. 13.1 Accessories table Options 302.159.000 Warranty extension (plus 2 years) CITREX H4 Servicing 000.000.012 Calibration & Servicing CITREX H4 000.000.014 Receiving inspection of CITREX H4 302.160.000 Triple Calibration & Servicing Package for CITREX H4 Accessories & Consumables 13 300.548.000 Adapter set 301.997.000 Car adapter for CITREX 302.077.000 Laminar inlet pipe 304.161.000 Black protective pouch for CITREX 304.161.001 Red protective pouch for CITREX 304.161.002 Blue protective pouch for CITREX 500.030.000 High-pressure adapter DISS O2 500.030.002 High-pressure adapter DISS Air 301.851.000 MicroSD memory card 302.075.000 RS-232 interface cable 301.672.000 Analog output terminal connector 301.655.000 Blind plug for oxygen connector (rubber) 302.178.000 Blind plug for oxygen connector (solid) 301.624.000 Oxygen sensor with mono jack 302.531.000 Bacterial filter RT019 304.714.000 CITREX stand Spare parts 301.936.000 Carrying case for CITREX H4 301.625.000 Battery for CITREX 301.563.000 Network cable 301.673.000 USB cable for CITREX 301.653.000 Oxygen sensor cable 304.578.000 Power supply plug for CITREX 302.780.000 Flow channel protective cap Table 8: Accessories 36 IMT Analytics AG Disposal 14 Disposal Disposal of the device is the operator's responsibility. The device can … • be delivered, carriage free and duty paid, to the manufacturer for disposal. • be handed over to a licensed private or public collection company. • be professionally broken down into its constituent parts by the operator and be recycled or disposed of in accordance with regulations. In the case of self-disposal the disposal regulations are country-specific and are contained in relevant laws and ordinances. These codes of conduct must be obtained from the authorities responsible. In this context, wastes must be recycled or destroyed … • without endangering human health. • without using processes or methods that harm the environment, especially water, air, soil, animals and plants. • without causing noise or odour nuisances. • without having a detrimental effect on the surroundings or landscape. 14 IMT Analytics AG 37 Directives and approvals 15 Directives and approvals • • • • • • • CE CAN/CSA-C22.2 No. 61010-1-12 UL Std. No. 61010-1 (3rd Edition) IEC 61010-1 2010 IEC 61326-1 2012 ETSI EN 301 489-17 V3.1.0 FCC Part 15, Subpart B, Digital Devices, Emission Class B CE Declaration of Conformity 2014/35/EU (LVD) DIRECTIVE 2014/35/EU OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 26 February 2014 on the harmonisation of the laws of the Member States relating to the making available on the market of electrical equipment designed for use within certain voltage limits tested according to EN61010-1:2010 2014/30/EU (EMC) DIRECTIVE 2014/30/EU OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 26 February 2014 on the harmonisation of the laws of the Member States relating to electromagnetic compatibility tested according to EN61326-1:2013 15 38 IMT Analytics AG Specifications 16 Specifications 16.1 Measurement parameters Flow and pressure measurement Measuring range Accuracy ± 1.9 % * or ± 0.1 sL/min ** Air and N2 Flow measurement ± 300 sL/min *** Temperature compensated Yes Ambient pressure compensated Yes Channel pressure compensated Yes −50 – 600 mbar Flow measurement ± 300 sL/min *** ± 1.9 % * or ± 0.1 sL/min ** Temperature compensated Yes Ambient pressure compensated Yes Channel pressure compensated Yes −50 – 600 mbar Flow measurement ± 140 sL/min *** 3 % * or ± 0.1 sL/min ** Temperature compensated Yes 25 – 30 °C Ambient pressure compensated Yes Channel pressure compensated Yes O2 / air mixtures CO2 −50 – 600 mbar Heliox (21 % O2/79 % He) Flow measurement ± 300 sL/min *** ± 4 % * or ± 0.3 sL/min ** Temperature compensated Yes 25 – 30 °C Ambient pressure compensated Yes Channel pressure compensated Yes −50 – 600 mbar N2O / O2 mixtures Flow measurement ± 80 sL/min *** ± 4 % * or ± 0.3 sL/min ** Temperature compensated Yes 25 – 30 °C Ambient pressure compensated Yes Channel pressure compensated Yes −50 – 600 mbar High 0 – 10 bar ± 1 % * or ± 10 mbar ** Difference ± 200 mbar ± 0.75 % * or ± 0.1 mbar ** In flow channel −50 – 150 mbar ± 0.75 % * or ± 0.1 mbar ** Barometer 500 – 1150 mbar ±1 % * or ± 5 mbar ** Pressure 16 Table 9: Measurement parameters IMT Analytics AG 39 Specifications Additional readings Oxygen concentration (pressure compensated ≤ 150 mbar) Gas temperature**** Measuring range Accuracy 0 – 100 % ± 1 % O2 ** 0 – 50 °C ± 1.75 % * or ± 0.5 °C ** Gas type Air, Air/O2, N2O/O2, Heliox (21 % O2), N2, CO2 ATP, ATPD, ATPS, AP21, STP, STPH, BTPS, BTPS-A, BTPD, BTPD-A, 0/1013, 20/981, 15/1013, 25/991, 20/1013, NTPD, NTPS Gas standard Units of measurement Flow Pressure L/min, L/s, cfm, mL/min, mL/s bar, mbar, cmH2O, inH2O, Torr, inHg, hPa, kPa, mmHg, PSI Table 10: Additional readings It is the larger tolerance that applies: * Tolerance in relation to the reading ** Absolute tolerance *** In this User Manual the unit sL/min is based on ambient conditions of 0 °C and 1013.25 mbar (DIN1343) **** CITREX H4 measures gas temperature inside the measurement channel. While CITREX H4 is warming up, the temperature of the measurement channel, and hence also the temperature of the gas inside the measurement channel, rises at the same time. The measurement channel volume is relatively small, even for relatively high volumetric flows (e.g. PIF @ 60 L/min). If the temperature of the gas on entering CITREX H4 is compared with gas temperature in the measurement channel, it becomes evident that the temperature in the measurement channel is higher. Therefore the temperature of the gas entering the CITREX H4 measurement channel should not be expected to equal the temperature displayed on the screen because the temperature displayed is measured inside the CITREX H4 measurement channel. Ventilation parameters Measuring range Accuracy Rate Breaths/min 1 – 1000 breaths/min ± 1 breath or ± 2.5 % ** Time Ti, Te 0.05 – 60 s ± 0.02 s Ratio I:E 1:300 – 300:1 ± 2.5 % * Ti/Tcyc 0 – 100 % ±5%* Vti, Vte ± 10 sL ± 2 %* or ± 0.20 mL (> 6 sL/min)** Peak flow PFInsp/PFExp ± 300 sL/min ± 1.9 % * or ± 0.1 sL/min ** Pressure PPeak, PMean PEEP, PPlateau, IPAP 0 – 150 mbar ± 0.75 % * or ± 0.1 mbar ** Compliance CStat 0 – 1000 mL/mbar ± 3 % * or ± 1 mL/mbar ** Trigger Adult, Pediatric, HFO Flow, Pressure and External Tidal volume 16 Table 11: Ventilation parameters 40 IMT Analytics AG Specifications General information Screen Real-time curves 1.7" colour display Interfaces Flow, pressure, volume, temperature, oxygen, ventilation parameters RS-232, USB, Ethernet, CAN, Analog Out, TTL, AC input 100 – 240 VAC (50/60 Hz) Battery operation 4 hours Dimensions (W × D × H) 11.4 × 7 × 6 cm Weight 0.4 kg Calibration interval Once a year Memory card Yes Operating data Ambient temperature 15 – 40 °C (59 – 104 °F) Air humidity 10 – 90 % RH Ambient pressure 783 – 1150 mbar Storage and transport conditions −10 – 60 °C (14 – 140 °F) at 5 – 95 % RH Degree of soiling Degree of soiling 2, to IEC 61010-1 Table 12: General information and operating data It is the larger tolerance that applies: * Tolerance in relation to the reading ** Absolute tolerance *** In this User Manual the unit sL/min is based on ambient conditions of 0 °C and 1013.25 mbar (DIN1343) 16.2 Interface definition Interface Analog OUT RS-232 CAN Pin assignment Pin 1: Analog OUT 1 Pin 2: Analog OUT 2 Pin 3: Trigger Input Pin 4: VIN Pin 5: GND Pin 1: NC Pin 2: RxD (Input) Pin 3: TxD (Output) Pin 4: GND Pin 1: VIN Pin 2: CANH 120 Ω Pin 3: CANL Pin 4: Connectable terminating resistor Pin 5: Pin 6: GND Range 0 – 5 VDC ± 1.8 %, load ≥ 5 kΩ 0 – 5 VDC ± 1.8 %, load ≥ 5 kΩ 5 – 24 VDC 12 VDC ± 20 % – 24 VDC ± 20 % 12 VDC ± 20 % – 24 VDC ± 20 % Table 13: Interfaces Figure 35: Interface definition 16 IMT Analytics AG 41 Specifications 16.3 Gas type The gas type measured must agree with the setting on CITREX H4. Please select the correct gas type in the settings. The following gas types are available for selection: • Air 100 % • Air/O2-Man. Air/oxygen mixture according to manual input; the default is 100 % O2 • Air/O2-Auto. Air/oxygen mixture according to sensor measurement of internal oxygen cell • N2O/O2-Man. Nitrous oxide / oxygen mixture according to manual input; the default is 100 % O2 • Heliox 21 % O2 /79% He • N2 100 % • CO2 100 % Standard conditions are understood to mean defined conditions for pressure, temperature and, in some cases, humidity, which constitute the basis for converting the flow actually measured. Therefore it is essential to check which standard condition the value displayed will relate to. The standard currently set is indicated on the numerical and graphical display. A gas type that has not been selected properly and a gas standard that has not been selected properly can lead to measuring errors of up to 20 %. 16.4 Power supply Input voltage of the power supply unit Supply voltage Power input 16.5 Battery operation Operating time in battery operation 100 – 240 VAC, 50 – 60 Hz 5 VDC 2.5 – 6 W 4 hours* Charging the battery A complete charging process takes 5 to 8 h, depending on which connection port is used for charging. The service life of the battery is extended if the battery is charged completely only after a prompt by the device. * This operating time is reached in non-networked operation (i.e. the interfaces are not in use or they are switched off) 16 42 IMT Analytics AG Appendix 17 Appendix 17.1 Principle of flow measurement Flow in the flow channel is determined by differential pressure measurement. To build up differential pressure a linear flow element is used to provide flow resistance. Δp = c1 × η × Q + c2 × ρ × Q2 η: dynamic viscosity of the gas [Pa s] ρ: gas density [kg/m3] c1, c2: device-specific constants (channel geometry) Dynamic viscosity • T he viscosity of the medium is its resistance to flow and shear. • Viscosity is extremely dependent on temperature. • The viscosity of a medium is slightly dependent on the pressure and moisture content of the medium. Density • Density is the unit for the mass per unit volume of the medium. • Viscosity is extremely dependent on temperature. • The viscosity of a medium is slightly dependent on the pressure and moisture content of the medium. 17.2 Trigger Triggers are used to define start and end points of cyclical signals. With regard to pressure and flow curves the trigger makes it possible to determine inhalation and exhalation. The resulting information constitutes the basis for ventilation parameter calculation. If the trigger is not set properly or if it is not possible to detect a trigger, the ventilation parameters will be calculated incorrectly or not at all. 17 Figure 36: Trigger IMT Analytics AG 43 Appendix 17.2.1 Flow trigger On CITREX H4 a flow trigger can be set. When the set flow is reached, the trigger is activated. In this context it is essential to specify whether at the start and end of a cycle the trigger is to be activated by a rising edge or a falling edge. Flow measurement in the flow channel serves as the trigger source. CITREX H4 can be operated bidirectionally. 17.2.2 Pressure trigger In the case of a pressure trigger it is the pressure measured in the flow channel that serves to activate measurement. Whereby the direction of flow is of no consequence. 17.2.3 Base flow Base flow is a constant flow that must not be included in volume calculation. If, for example, a system has a defined leak, resulting in a constant discharge of 3 L/min, those 3 L/min are not included in the inspiratory volume. The 3 L/min can be entered as a trigger setting so they will not be taken into account. 17.2.4 Delay With a delay it is possible to filter out signal errors or noise and prevent false triggering. As a result, a trigger is only activated if the set trigger level continues to apply after the delay time. If the trigger level is no longer reached after the delay time, no trigger is activated. The delay time can be set. Figure 37: Delay 17 44 IMT Analytics AG Appendix 17.3 Measurement parameters and units Pressure readings Flow readings Meteorological readings Gas concentrations Ventilation parameters Measurement parameter Designation Units of measurement Ambient pressure Pressure high Pressure in flow channel high Differential pressure PAtmo PHigh PChannel PDiff mbar, bar, inH2O, cmH2O, psi, Torr, inHg, mmHg, hPa, kPa Measurement parameter Designation Units of measurement Flow Flow L/min, mL/min, cfm, L/s, mL/s Measurement parameter Designation Units of measurement Temperature Oxygen content Volume Temp. O2 Volume °C, K, °F % mL, L, cf Measurement parameter Designation Units of measurement Gas concentration Partial pressure Gas concentration Partial pressure % mbar, bar, inH2O, cmH2O, psi, Torr, inHg, mmHg, hPa, kPa Measurement parameter Designation Units of measurement Positive end-expiratory pressure Mean pressure Inspiratory positive airway pressure Maximum pressure Plateau pressure PEEP PMean IPAP PPeak PPlateau Expiratory minute volume Inspiratory minute volume Inspiratory peak flow Expiratory peak flow Ve Vi PFInsp PFExp Expiratory volume Inspiratory volume Ventilation rate Inspiratory/expiratory ratio Expiratory time Inspiratory time Compliance Vte Vti Rate I:E Te Ti CStat mbar, bar, inH2O, cmH2O, psi, Torr, inHg, mmHg, hPa, kPa L/min, mL/min, cfm, L/s, mL/s mL, L, cf mL, L, cf Breaths/min s s mL/mbar, L/mbar, mL/cmH2O, mL/cmH2O Table 14: Measurement parameters and units 17 IMT Analytics AG 45 Appendix 17.4 Gas standards for flow and volume readings CITREX H4 converts the flow and volume readings measured in the device to match the conditions of the standard selected. The following gas standards are supported by CITREX H4. Gas standard Abbreviation Pressure Temperature Relative humidity Ambient Temperature and Pressure ATP Current ambient pressure Current gas temperature Current gas humidity Ambient Temperature and Pressure Dry ATPD Current ambient pressure Current gas temperature 0% Ambient Temperature and Pressure Saturated ATPS Current ambient pressure Current gas temperature 100 % Ambient Pressure at 21 °C AP21 Current ambient pressure 21.0 °C (70 °F) Current gas humidity Standard Conditions USA STP 1013.25 mbar (760 mmHg) 21.0 °C (70 °F) 0% Standard Conditions USA Humid STPH 1013.25 mbar (760 mmHg) 21.0 °C (70 °F) Current gas humidity Body Temperature and Pressure, Saturated BTPS Current ambient pressure + channel pressure 37.0 °C (99 °F) 100 % Body Temperature and (Ambient) Pressure Saturated according to ISO 80601-2-12:2011 BTPS-A Current ambient pressure 37.0 °C (99 °F) 100 % Body Temperature and Pressure Dry BTPD Current ambient pressure + channel pressure 37.0 °C (99 °F) 0% Body Temperature And (Ambient) Pressure Dry BTPD-A Current ambient pressure 37.0 °C (99 °F) 0% Standard Conditions to DIN1343 0/1013 1013.25 mbar (760 mmHg) 0.0 °C (32 °F) 0% Standard Conditions to ISO 1-1975 (DIN 102) 20/981 981 mbar (736 mmHg) 20.0 °C (68 °F) 0% API Standard Conditions 15/1013 1013.25 mbar (14.7 psia) 15.0 °C (60 °F) 0% Cummings Standard 25/991 991 mbar (500 ft altitude) 25.0 °C (77 °F) 0% 20 °C/1013 mbar 20/1013 1013.25 mbar (760 mmHg) 20.0 °C (68 °F) 0% Normal Temperature and Pressure NTPD 1013.25 mbar (760 mmHg) 20.0 °C (68 °F) 0% Normal Temperature and Pressure, Saturated NTPS 1013.25 mbar (760 mmHg) 20.0 °C (68 °F) 100 % Table 15: Gas standards for flow and volume readings 17 46 IMT Analytics AG Appendix 17.5 Conversion factors Value 1 mbar 1 bar Equivalent 0.001 bar 100 Pa 1 hPa 0.1 kPa 0.75006 torr (760 torr = 1 atm.) 0.75006 mmHg (at 0 °C) 0.02953 inHg (at 0 °C) 1.01974 cmH2O (at 4 °C) 0.40147 inH2O (at 4 °C) 0.01450 psi, psia 1000 0.1 mbar Pa 1000 hPa 100 kPa 750.06 torr (760 torr = 1 atm.) 750.06 mmHg (at 0 °C) inHg (at 0 °C) 29.53 1019.74 401.47 14.50 cmH2O (at 4 °C) inH2O (at 4 °C) psi, psia Table 16: Conversion factors 17 IMT Analytics AG 47 Appendix 17.6 List of tables Table 1: Symbol explanation Table 2: Scope of delivery Table 3: Description of electrical interfaces Table 4: User controls Table 5: Trigger settings Table 6: Numerical values Table 7: Folder structure of CITREX H4 Table 8: Accessories Table 9: Measurement parameters Table 10: Additional readings Table 11: Ventilation parameters Table 12: General information and operating data Table 13: Interfaces Table 14: Measurement parameters and units Table 15: Gas standards for flow and volume readings Table 16: Conversion factors 8 9 16 19 21 24 34 36 39 40 40 41 41 45 46 47 17.7 List of figures Figure 1: Power supply Figure 2: Flow channel Figure 3: Differential pressure connector Figure 4: High-pressure connector Figure 5: Oxygen sensor holder Figure 6: Protective cap Figure 7: Screwing in the oxygen sensor Figure 8: Oxygen sensor cable Figure 9: Electrical interfaces Figure 10: Replacing the battery Figure 11: User controls Figure 12: Info display Figure 13: Battery indicator Figure 14: Ethernet interface Figure 15: Trigger Figure 16: Gas standard Figure 17: Gas type Figure 18: Gas humidity Figure 19: Setting the X-axis Figure 20: O2 calibration Figure 21: Profiles Figure 22: Numerical readings Figure 23: Measurement curves Figure 24: Zero calibration Figure 25: Screen displays "Calibration Air" Figure 26: Screen displays "Calibration Oxygen and Air" Figure 27: General measurement setup Figure 28: Bad setup Figure 29: Measurement setup for checking ventilators Figure 30: Measurement setup for gases at high pressure Figure 31: Profile editor in Internet Explorer Figure 32: Profile editor "configuration" Figure 33: Monitoring numerics Figure 34: Monitoring panels Figure 35: Interface definition Figure 36: Trigger Figure 37: Delay 10 11 12 13 14 14 15 15 16 17 19 20 20 20 21 21 22 22 22 23 23 23 24 25 26 26 27 27 28 28 29 30 32 33 41 43 44 17 48 IMT Analytics AG Appendix 17.8 Index A F N Accessories 36 Analog OUT 16 Approvals 38 Filter 24 Flow and volume readings 46 Flow channel 11 Flow measurement 43 Notes 7 Numerical readings 23, 32 G O2 25 O2 interface 16 Operating time 42 Operation 18 Options 36 Oxygen 25 Oxygen sensor 14 Oxygen sensor, installing 14 B Battery depletion 10 Battery operation 42 Battery replacing 17 C Calibration 25 Calibration with air 26 Calibration with oxygen and air 26 CAN 16 CAN interface 10 Care 35 Charging the battery 42 Cleaning 35 Connecting the device 27 Conversion factors 47 D Gas concentrations 45 Gas standard 24 Gas standards 46 Graphical readings 24, 33 H High pressure 13 I Intended use 6 Interface definition 41 L O P PC minimum requirements 31 Personnel 7 Power supply 10, 42 Pressure readings 45 Profile editor 29 Profiles 29 R Lock screen 18 Default 31 DHCP 32 Differential pressure 12 Dim screen 18 Directives 38 Disposal 37 DISS adapter 13 Dynamic viscosity 43 E Electrical interfaces 16 Ethernet 16 IMT Analytics AG RS-232 16 M Measurement data 34 Measurement parameters 39, 45 Measurements 6 Measurement setup 27 Mechanical connectors 11 Meteorological readings 45 MicroSD 16 Monitoring option 32 S Safety instructions 7 Service life 7 Servicing 35 Servicing operations 35 Settings 20 Spare parts 36 Specifications 39 Start-up 9 Switching the device on/off 18 Symbol explanation 8 17 49 Appendix T Trigger 43 Trigger signal 24 U Units 45 USB port 16 User controls 19 V Ventilation parameters 6 W Web server 31 Z Zero point 25 17 50 IMT Analytics AG 305.081.000_04, 2018-07 Subject to changes without notice. IMT Analytics . Gewerbestrasse 8 . 9470 Buchs . Switzerland T +41 81 750 67 10 . www.imtanalytics.com
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