Specification Ventilator With Compressor (A) No 1 Ventilator Physical specifications Dimensions Height Height including chart Width Depth

Weight Keterangan

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46 cm (Display down) 66 cm (Display up) 123 cm (Display down) 144 cm (Display up) 38 cm 36 cm Approx. 29 kg (not including cart) 66 kg (including cart)

Display motion Horizontal rotation Vertical tilt

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123 110in raised position 65 in lowered position 20 cm

Heigth adjusment

Ventilator operating specifications Modes of ventilation Volume Controlled (VCV) Pressure Controlled (PCV) Pressure Controlled , Volume Guaranteed ( PCV-VG) (optional) Synchronized Intermitten Mandatori Ventilation Volume Controlled (SIMV-VC) Synchronized Intermitten Mandatori Ventilation Volume Presure Controled (SIMV-PC) Synchronized Intermitten Mandatori Ventilation Volume Presure Controled, Volume Guaranted (SIMV-PCVG) (opt) BI-Level Airway Pressure Ventilation (APRV capable) BI-Level with Volume Guarantee (BiLevel-VG) (optional) Constans Positive Airway Pressure Ventilation (CPAP/PSV) Apnea backup available in SIMV-PC,SIMV-VC,Bi-Level and CPAP/PSV (Intitutionally selectable default). Control and ranges Maximum peak flow

200 L/min

Flow Incremental settings FiO2 Rate

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Inspiratory/expiratory ratio Tidal volume range Incremental settings

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2 to 160 L/min (0.04 to 2.6 L/sec ) 2 to 40 L/min (increments of 1 L/min) 40 to 160 L/min (increment of 5 L/min ) 21 to 100 % O2 3 to 120 breaths per minute for VCV, PCV, PCV-VG and Bi-Level (increments of 1 breath per minute) 1 to 60 breaths per minute for SIMV-VC and SIMV-PC (increments of 1 breath per minute) 1 : 9 to 4 : 1 1 : 9 to 9 : 1 in Bi-Level 20 to 2,000 mL 20 to 50 mL (increments of 1 mL) 50 to 100 mL (increments of 5 mL) 100 to 300 mL (increments of 10 mL) 300 to 1000 mL (increments of 25 mL) 1000 to 2000 mL (increments of 50 mL) For VCV, PCV-VG, SIMV-VC, SIMV-PCVG and BiLevel-VG 1 to 98 cm H2O (increments of 1 cm H2O) 1 to 98 cm H2O (increments of 1 cm H2O) Off,1 to 50 cm H2O (increments of 1 cm H2O) 7 to 100 cm H2O for VCV and SIMV-VC (increments of 1 cm H2O) 7 to 100 cm H2O (increments of 1 cm H2O) Off, 1 to 50 cm H2O (increments of 1 cm H2O) 0.25 to 15 sec 0.25 to 1 sec (increments of 0.05) 1 to 4 sec ( increments of 0.10 ) 4 to 15 sec (increments of 0.25) 0.25 to 15 sec 0.25 sec to 1 sec (increments of 0.05) 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 0.05) 1 to 4 sec ( increments of 0.1 ) 4 to 18 sec (increments of 0.25)

Inspiratory pressure (Pinsp) range Phigh Plow Pressure limit (Plimit) range

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: Max. inpiratory pressure (Pmax) limit : PEEP Inspiratory time : :

Thigh

Tlow

Expiratory time Rise time

: PSV rise time Trigger window Flow trigger Pressure trigger Bias flow rate Inps. Pause Tpause : : : : : : :

0.25 to 59.75 sec 0 to 500 ms of inspiratory period for either flow pressure depending on the mode selected. Active in VCV, PCV, PCV-VG, SIMV-VC, SIMC-PC and BiLevel (increments of 50 ms) 0 to 500 ms of inspiratory period for pressure supported breaths only. Active in SIMV-VC, SIMC-PC and Bi-Level and CPAP/PSV (increments of 50 ms) 0 to 80 % of expiration time (increments of 50 ms) 1 to 9 L.min (increments of 0.5 L/min) -3 to -10 cm H2O (increments of 1 cm H2O) -3 to -0.25 cm H2O (increments of 0.25 cm H2O) 2 to 10 L/min (increments of 0.5 L/min) 0 to 75 % of inspiration time (increments of 5 %) 0 to 11 sec 0 sec to 1 sec (increments of 0.05) 1 to 4 sec ( increments of 0.1 ) 4 to 11 sec (increments of 0.25) 0 to 60 cm H2O for SIMV-VC, SIMV-PC, Bi-Level and CPAP/PSV 5 to 50 % of peak flow (increments of 5 %) for SIMV-VC, SIMV-PC, and CPAP/PSV

Pressure support from PEEP level : End Flow level Alarms settings Tidal Volume Minute volume Respiratory rate Inspired oxygen (FiO2) Pmax Ppeak PEEPe PEEPi Plimit Apnea Alarm :

Bi-Level

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Low : Off, 5 to 1950 mL High : 10 to 2000 mL, Off Low : 0.1 to 40 L/min High : 0.4 to 99 L/min Low : Off, 1 to 99 / min High : 2 to 120 / min, Off Low : 18 to 99 % High : 24 to 100 % OFF High : 7 to 100 cm H2O Low : 1 to 97 cmH2O Low : Off, 0 to 20 cm H2O High : 5 to 50 cm H2O,Off High : 1 to 20 cm H2O,Off 7 to 100 cm H2O User adjustable : 10 to 60 sec

Circuit leak EtO2 EtCO2 Ventilation soft limit indicators Parameters with soft limits Alarm System Escalating alarms

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10 to 90 % Low : Off, 10 to 99 % High : 11 to 100 % , Off Low : Off, 0.1 to 14.9 % or Off, 0 to 114.5 mmHg High : 0.2 to 15 % or 0.5 to 115 mmHg When adjusting selected ventilator parameters, color indicators show when parameters are approaching their setting limits. Pmax, PEEP, Pinsp, Psupp, Tinsp, RR, I:E, Phigh, Plow, Thigh and Tlow

High priority alarms escalate to a higher pitch if unattended for specified time : Adjustable to : OFF, 0, 10, 20, and 30 sec Alarms limits calculated on the current measured values for selected Auto limits : parameters Procedures Suction Program Routine : Automatic Pre-oxygenation : 2 minutes with 100 % O2 with automatic disconnection detection Standby pause : 2 minutes with automatic patient (re-connection) detection Post-oxygenation : 2 minutes with 100 % O2 Note : FiO2 can be set to level other than 100 % Manual breath Intrinsic PEEP (includes PEEPi Volume) P.1 Inspiratory hold Expiratory hold Spontaneous Bretahing Trial (SBT) Spirometry Data sources

Loop types Saved loop

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Ventilator or Compact Airway Module M-COV, M-COVX,M-CAiOV, M-CAiOVX, E-CO, E-COV, E-COVX, E-CAiOV, E-CAiOVX Pressure-Volume, Pressure-Flow and Flow-Volume Up to six loops can be saved

Reference loop Cursor Pulmonary mechanics Auxiliary pressure Auxiliary pressure (Paux) Purge flow

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A saved loop can be selected as the reference loop to compare with the current loop being dispalyed Freezes current loops and provides numeric display of X and Y axis as cusor moves across loops Ppeak, Pplat, Pmean, PEEPe, PEEPi, TVinsp, TVexp, Mvinsp, Mvexp, Compliance and Resistance

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-20 to +120 cm H2O Low flow to clear the Paux line, can be turned off

SpiroDynamic (optional) Tracheal Pressure - Volume loap displayed Dynostatic Curve displays calculated alveolar pressure Tracheal pressure measured via GE's intratracheal pressure sensor Connects directly to engstrom'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 up to 2 separate 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 and Raw displayed FRC INview (optional) Functional Residual Capacity measurement Wash-in and Wash-out method provides 2 sparate FRC measurements FRC displayed both numerically and graphically The most recent 5 FRC procedures displayed PEEPe+I displayed with each FRC FRC Event 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) 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 be either increase or decrease PEEPe+I displayed during each FRC measurement Lung INview (available with SpiroDynamics and FRC INview) Integrates SpiroDynamics and FRC INview within the PEEP INview procedure Measures the amount of volume between the Dynostatic curves at each FRC measurement Estimateof recruitment volume Non-Invasive Ventilation (NIV) Mask ventilation Automatic Patient Detection (APD) Patient re-connection Detection by 100 % O2 Delivers 100 % for 2 Minutes Can be adjusted to other O2 %

Yes

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Automatic detection in standby Back pressure to Bias-flow

Take snapshot Immediate capture and storage critical data currently on the Ensgtrom's display Storage data : 3 waveform segments Alarm messages (5 most recent) All measured parameters All set ventilator parameters Maximum stored Snapshots : 3 most recent Cursor : Ability to cursor across waveforms for spesific measured values Ventilator Preferences Back-up Mode ARC Assist Control Leak Compensation TV Based Conditions

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Established the specific ventilator mode and parameters used in the event that the ventilator switches to Back-up ventilation Allows control and setting of the airway resistance compensation Allows the user to turn the Assist Control capability On or Off Allows the user to turn the Leak Compebsation capability On or Off Allows setting between ATPD (Ambient Temperature Pressure Dry) or BTPS (Body Temperature Pressure Saturated)

Airways Resistance Compensation (ARC) Type of compensation : Compensation for : Tube diameter : Level of compensation :

Electronic tube compensation Endotracheal and tracheostomy tubes 5 to 10 mm 25 to 100 %

Mode Families Allows user adjusment to specify certain parameters that align with the hospital's current ventilator usage Adjustable parameters : Flow and Inspiratory timing Famili 1 : Flow Control is On/Insp. Timing is I:E Famili 2 : Flow Control is Off/Insp. Timing is I:E Famili 3 : Flow Control is On/Insp. Timing is Tinsp Famili 4 : Flow Control is Off/Insp. Timing is Tinsp Famili 5 : Flow Control is On/Insp. Timing is Tpause Help screens are available for any recent or active alarm. Help will provide the cause of the alarm and the action to resolve the alarm conditions Ventilator monitoring Airway pressure : -20 to +120 cm H2O Patient flow : 1 to 200 L/min Tidal volume : 5 to 2,500 mL Minute volume : 0 to 99.9 L/min CO2 : 0 to 30 % Compliance : 0 to 999 L/min Resistance : 0 to 1000 cm H2)/L/s RQ : 0.6 to 1.2 VO2 : 50 to 1000 mL/min VCO2 : 50 to 1000 mL/min Rate : 0 to 120 breaths per minute (increments of 1 breath per minute) FiO2 : 0 to 100 % Rapid Shallow Breathing Index (RSBI) 0 to 999 L/min : Oxygen monitoring Technology : Dynamic Paramagnetic Oxygen monitoring system Life span : Unlimited operating life due to the use of non-depleting technology Screen Display type

30.5 cm/12 inch full color

Waveforms in screens Waveforms parameters Graphic scaling Data Status indicators Monitoring accuracy Pressure readings Volume readings O2 concentration monitor Delivery accuracy Inspired pressure control Oxygen-Air mixing Tidal volume delivery Monitor Module Module capacity

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LCD adjustable viewing angle Three at a time Pressure, flow, volume, auxiliary pressure, CO2, and O2 Automatic scaling for optimal size or independent scaling Control parameters, patient data, alarm settings and messages Ventilation mode, battery level, clock

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2 cm H2O or 5 % of reading, whichever is greater 10 % or 15 mL, whichever is greater 3%

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2 cm H2O +15 mL, whichever is greater 3 % V/V of setting 10 % of setting or 5 mL, whichever is greater

4 single slot or 2 double slot modules M-CO, M-COV, M-COVX,M-CAiO, M-CAiOV, M-CAiOVX, Mini-CO2 (Rev.3.2 Compact airway module compatibility : or higher), E-CO, E-COV, E-COVX, E-CAiOV, E-CAiOVX Note : The Engstrom Carestation does not utilize the Ai (inhaled anesthesia) feature of the compact airway modules at this time

Trends Trend data Trend styles Maximum Electrical spesification Line supply Line voltage Power consumption Battery supply Back-up battery Type Battery back-up time

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All set parameters and measured data Numeric and graphic

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85 to 132 Vac, 47/63 Hz 187 to 264 Vac, 47/63 Hz < 200 W

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Built-in Lead acid gel 120 minutes typical, 30 minutes minimum, battery fully charged

Gas supply Single gas operation Emergency air valve Oxygen supply Pressure range Flow Air supply Pressure range Flow Environmental spesification Thermal Operating range Storage range Humidity Operating range Storage range

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Yes Built-in 240 to 641 kPa/35 to 94 psi 160 L.min

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240 to 641 kPa/35 to 94 psi 160 L.min

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10 to 40 C -20 to 50 C

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15 to 95 % RH Non-Condensing 15 to 95 % RH Non-Condensing In accordance with IEC 68-2-3

Vibration and shock Random vibration Altitude Operating range Storage range

3grms @ 30 min unpackaged 20 to 5000 Hz

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-440 to 3565 m ( 500 to 800 mmHg ) -440 to 35860 m ( 375 to 800 mmHg )

Bontang, 10 Oktober 2011 Pejabat Pembuat Komitmen

Drs. Ibnu Gunawan, M.Si NIP. 19690917 199003 1 009