ADSII Anesthesia Delivery System

ADSII Anesthesia Delivery System

The ADSII™ is an advanced yet easy-to-use anesthesia workstation that provides accurate, pneumatically driven and electronically controlled ventilation.  The ADSII™ has an ergonomic design that incorporates new technology and provides safe and effective treatment options for the clinician. The ADSII™ includes Adult and Pediatric modes that provide patient-appropriate defaults and ranges.

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Description

Updated for 2023

The ADSII™ is an advanced yet easy-to-use anesthesia workstation that provides accurate, pneumatically driven, and electronically controlled ventilation.  The ADSII™ has an ergonomic design
that incorporates new technology and provides safe and effective treatment options for the clinician. The ADSII™ includes Adult and Pediatric modes that provide patient-appropriate defaults and ranges.

The ADSII features:

  • Highly accurate tidal volumes with 15 mL capability
  • 15-inch Touch Screen TFT LCD
  • Electronic Flowmeters (Air, N20, O2)
  • Autoclavable and Heated Absorber
  • Ventilation modes of VCV, PCV, PRVC, SIMV(V)+PS, SIMV(P)+PS, CPAP/PSV, Manual, Standby
  • Highly mobile space-saving design with retractable writing table and battery backup
  • AGSS & Electronic PEEP
  • Optional Vital signs, EtCo2, and Agent Monitoring

Anesthesia Ventilation Modes For A Variety of Clinical Settings

  • Modes of ventilation include VCV, PCV, PRVC, SIMV(V)+PS, SIMV(P)+PS, CPAP/PSV, Manual, & Standby
  • A minimum tidal volume of 10mL the ADSII is ideal for any patient type from infant to adult
  • Altitude compensation ensures normal operation under high altitude conditions

Anesthesia Ventilator Monitoring & Intelligent Alarms

  • Simultaneous display of 4 waveforms and 2 ventilation loops along with 20+ relevant parameters in a variety of configurable views with comprehensive monitoring information.
  • Real-time monitor and gas alarms with automatic switch-over for optional driven gas ensure patient safety.
  • Tertiary acoustic alarm with color-coded risk level lighting

Anesthesia Absorber

BY-PASS soda–lime exchange during surgery. Auto heating & water collection. Auto compensation of tidal volume & automatic AGSS.

Anesthesia Vaporizers

The ADS II provides Standard Selectatec™-compatible mounts and holds one or two vaporizers. Sevoflurane, Isoflurane, Desflurane, Enflurane, and Halothane are available.  All include a 10yr maintenance-free guarantee.

Gas Delivery

Electronic flowmeters for O2, N2O, and air have safety control and LED displays.  A mechanical flowmeter provides security backup.

Pin Index Cylinder Yokes

The ADS II anesthesia machine offers standard cylinder yokes for:  N2O, O2, and AIR

Wheel Lock

The ADS II provides an ergonomic footbrake system to lock the wheels. High-quality anti-static castors make the ADS II mobile and easily maneuverable.

Power/Network Panel

The ADS II features a universal 110v/220v power panel with 4 – 50/60Hz power outlets.  Ethernet, USB, and RS-232 ports are also included to offer a multitude of connectivity options.

 

Technical Specifications

System Dimensions and Weight

  • Dimensions (HxWxD):  1450mm×1000mm×1330mm
  • Weight:  108 kg (Without vaporizer and cylinder)
  • Top Shelf:  Weight limit 34 kg, Width x Depth 578×360 mm
  • Work Surface:  Dimensions (HxWxD) 827×557×311 mm
  • Drawers (2): (Internal Dimensions HxWxD) 150×298×348 mm
  • Casters w/Breaks (4):  125 mm diameter

Ventilation Specifications

  • Modes of Ventilation: VCV, PCV, PRVC, SIMV(V)+PS, SIMV(P)+PS, CPAP/PSV, Manual, Standby
  • Compensation: Circuit gas leakage compensation and automatic compliance compensation
  • Patient Types: Adult, Pediatric, Infant
  • System Language:  English, Spanish, Italian
  • Tidal Volume Pediatric/Infant: 10 ~ 300ml
  • Tidal Volume Adult: 100 ~ 1500ml (increments of 5 mL)
  • Pinsp: 5 ~ 70 cmH2O (increments of 1 cmH2O)
  • Plimit: 5 ~ 100 cmH2O (increments of 1 cmH2O)
  • Frequency in SIMV Mode: 1 ~ 40 bpm
  • Frequency in Other Modes:  Other modes: 4 ~ 100 bpm (increments of 1 bpm)
  • I:E 4:1 ~ 1:10 (increments of 0.5)
  • Tpause:  OFF, 5% ~ 50% (increments of 5%)
  • Ti:  0.1 ~ 10 s (increments of 0.1s)
  • Flow Trigger:  1 ~ 15 L/min (increments of 1 L/min)
  • Psupp:  5 ~ 60 cmH2O (increments of 1 cmH2O)
  • Integrated Positive End Expiratory Pressure (PEEP):  OFF, 4 ~ 30 cmH2O (increments of 1 cmH2O)
  • Driving Pressure:  280 kPa to 600 kPa
  • Peak Gas Flow: 120 L/min + Fresh Gas Flow

Ventilation Monitoring Parameters

  • Minute Volume: 0 ~ 60 L/min
  • Tidal Volume:  0 ~ 2500 ml
  • Inspired O2: (FiO2) 21% ~ 100%
  • Ppeak: 0 ~ 100 cmH2O
  • Pmean: 0 ~ 100 cmH2O
  • Pplate: 0 ~ 100 cmH2O
  • I:E: 4:1 ~ 1:10
  • Rate: 0 ~100 bpm
  • Freqspont: 0 ~ 99 bpm
  • PEEP: 0 ~ 70 cmH2O
  • Resistance (R): 0 ~ 200 cmH2O/(L/s)
  • Compliance (C): 0 ~ 200 ml/ cmH2O

Ventilation Control Accuracy

  • Volume Delivery < 100 ml:   ± 20 ml
  • Volume Delivery ≥100 ml:   ± 20 ml or ± 15% of the set value, whichever is greater
  • Pressure Delivery: ± 2.0 cmH2O or ± 10% of the set value, whichever is greater
  • PEEP Delivery: ± 2.0 cmH2O or ±10% of the set value, whichever is greater
  • Flow Trigger: ± 1.0 L/min or ±15% of the set value, whichever is greater

Monitoring & Accuracy

  • Volume Monitoring< 100 ml:  ± 20 ml
  • Volume Monitoring≥100 ml:  ± 20 ml or ± 15% of the reading, whichever is greater
  • Pressure Monitoring: ± 2.0 cmH2O or ± 10% of the reading, whichever is greater
  • PEEP Monitoring: ± 2.0 cmH2O or ± 10% of the reading, whichever is greater
  • MV Monitoring: 1L/min or ±15% of the reading, whichever is greater
  • Trend Graph: Continuous trend information for the latest 24 hours
  • Log:  500 events storage, first in first out

Alarm Settings

  • Tidal Volume: 
    • High: 20 ~ 1500 mL, OFF
    • Low: OFF, 10 ~ 1500 mL
  • Minute Volume:
    • High: 1 ~ 40 L/min, OFF
    • Low: OFF, 0 ~ 40 L/min
  • Airway Pressure:
    • High: 1 ~ 100 cmH2O
    • Low:  0 ~ 99 cmH2O
  • Frequency:
    • High: 1 ~ 100BPM
    • Low: 0 ~ 99BPM
  • FiO2:
    • High: 21% ~ 100%,OFF
    • Low: OFF, 18% ~ 99%
  • Apnea Alarm: 10 ~ 40s
  • Sustained Airway Pressure Alarm: 15s
  • Negative Pressure Aarm:  Paw < -10 cmH2O
  • Alarm Silence Countdown Timer: 120 to 0 seconds

Ventilator Components

  • Flow Sensor
    • Type: Variable orifice flow sensor
    • Position: Inspiratory and expiratory port
  • Oxygen Sensor
    • Type: Chemical
    • FiO2 Displayed:  21% to 100%
    • Accuracy:  ± (volume fraction of 2.5 % +2.5 % gas level)
    • Response time: ≤15 seconds
  • Ventilator Screen
  • Display Type: Color TFT touch screen, rotatable
    • Display Size: 15 inch
    • Resolution:  1024 x 768
    • Display Parameter: All setting and alarm parameters (including Breath rate, I/E ratio, Tidal volume, Minute volume, PEEP, MEAN, PEAK, PLAT, and O2 concentration, EtCO2, N2O, Aesthesia gas concentration)
    • Display Waveform: P-T, F-T, V-T, CO2-T
    • Loop: P-V, F-V and F-P
    • Timer: On screen timer
  • Communication Port: RS-232C connector x2, VGA x1

Vaporizer

  • Vaporizer Brand:  Drager or Penlon Sigma Delta
  • Agent Compatibility:   Halothane, Enflurane, Isoflurane, Sevoflurane
  • Position: Standard 2
  • Mounting Mode:  Selectatec®, with interlocking function
  • Fill Method: Key fill, Pour fill, Quick fill

Monitoring Modules

  • MainStream CO2 Module: (Masimo IRMA)
    • Displayed Numeric:  EtCO2, FiCO2
    • Measurement Range: 0 ~ 99 mmHg
    • Accuracy: ± (0.3 vol%+ 4% of reading)
    • Response Time: <1 second  Waveform / Loop CO2-time
    • EtCO2:
      • High Alarm Limit:  1 ~ 100cmH2O
      • Low Alarm Limit: 0 ~ 99cmH2O
  • SideStream CO2 Module: (Masimo ISA)
    • Displayed Numeric: EtCO2, FiCO2
    • Measurement Range: 0 ~ 99 mmHg
    • Accuracy: 0 to 15 vol%: ±2 (0.2 vol%+2% of reading) 15 to 25 vol% :unspecified
    • Response Time: <3 seconds (with 2 m sampling line)  Waveform / Loop CO2-time
    • EtCO2
      • High Alarm Limit:  1 ~ 100cmH2O
      • Low Alarm Limit: 0 ~ 99cmH2O
  • Multi-gas Module: (Masimo IRMA)
    • Measurement Mode: Main-stream
    • Monitor Gases:  CO2, N2O, Halothane, Enflurane, Isoflurane, Sevoflurane, Desflurane, MAC.
    • Warm-up Time:  <20 sec (concentrations are reported and the automatic agent identification is running within 20 seconds).
    • Accuracy:
      • CO2:  ±(0.3 vol%+ 4% of reading)
      • N2O:  ±(2 vol%+ 5% of reading)
      • HAL, ENF, ISO, SEV, DES:  ±(0.2 vol%+ 10% of reading)
  • SPO2 Module
    • Range: 70% ~ 100%
    • Resolution: 1%
    • Absolute Accuracy: ±2%
    • PR Range: 30~250bpm
    • PR Resolution:  1bpm
    • PR Accuracy: 2bpm

Electrical Specifications Power & Battery Backup

  • Power Input:  110 ~ 240 Vac, 50/60 Hz
  • Auxiliary Electrical Outlet:  Up to 3 outlets (2A for each)
  • Battery Backup: 
    • 60 min for 1 piece battery (powered by new fully-charged batteries with 25℃ ambient temperature)
    • Built-in Li-ion battery, 11.1 VDC, 7800 mAh
  • Safety Features:  In case of electricity and battery failure, manual ventilation, gas delivery and agent delivery are possible.

Pneumatic Specifications

  • ACGO (Auxiliary Common Gas Outlet)
    • Connector Size: ISO 22 mm OD and 15 mm ID
    • Pipeline Supply:
      • Gas Type: O2, N2O, Air
      • Pipeline Input Range: 280 to 600 kPa
      • Pipeline Connection:  NIST
    • Pipeline Supply Pressure Gauge
      • Display Type: Mechanical
      • Range: 0 to 1MPa
      • Accuracy: ± (4% of the full scale reading + 8% of the actual reading)
    • Cylinder Supply:
      • Cylinder Type: E-size Cylinder (US standard or UK standard)
      • O2 Input Range: 400 to 450 MPa
      • N2O Input range: 400 to 450 MPa
      • Cylinder Connection: Pin-Index Safety System (PISS)
      • Yoke Configuration: O2, N2O
    • Cylinder Supply Pressure Gauge
      • Display: Type: Mechanical
      • O2 Range: 0 to 25 MPa
      • N2O Range: 0 to 25 MPa
      • Accuracy: ± (4% of the full scale reading + 8% of the actual reading)
    • O2 Control
      • Method: N2O shut off with loss of O2 pressure
      • O2 Flush: 25 ~ 75 L/min
    • O2-N2O Link System
      • Type: Mechanical
      • Range: O2 concentration not lower than 21%
    • Auxiliary: O2: Flowmeter
      • Range: 0 ~ 15 L/min
      • Indicator:  Flow tube
    • Electronic Flow Meter
      • O2 Flow Range: 0~ 10 L/min
      • Air Flow Range: 0~ 10 L/min
      • N2O Flow Range: 0~ 10 L/min
      • Accuracy:  Between -10% and +10% of the indicated value (under 20℃ and 101.3 kPa, for flow between 10% and 100% of full scale ±200mL/min(for flow below 10% of full scale)

Environmental Specifications

  • Temperature
    • Operation: 10 ~ 40℃
    • Storage and Transport: -20 ~ 55℃
  • Relative Humidity (non-condensing)
    • Operation: ≤ 80% R.H.
    • Storage and Transport: ≤ 93% R.H.
  • Atmospheric Pressure
    • Operation: 70 ~ 106 kPa
    • Storage and Transport: 50 ~ 106 kPa
  • Electromagnetic Compatibility
    • Immunity Complies with all requirements of IEC 60601-1-2
    • Emission Complies with all requirements of IEC 60601-1-2

Breathing System Specification

  • Material: PC or PPSU(optional)
  • CO2 Absorber
    • Absorber Capacity: 1500 mL
  • Breathing Circuit Parameters
    • Compliance:  0.87 mL/100Pa (bag mode)  Automatically compensates for compression losses within the breathing circuit in mechanical mode
    • Expiration Resistance: < 0.6 kPa @30 L/min
    • Inspiration Resistance: < 0.6 kPa @30 L/min
  • System Pressure Gauge
    • Range: -20 ~ 100 cmH2O
    • Accuracy: ± (2% of the full scale reading + 5% of the actual reading)
  • Ports and Connector
    • Exhalation, Inhalation Manual Bag Port:  22 mm OD /15 mm ID conical
  • APL Valve
    • Range: 2 ~ 70 cmH2O or 2 ~ 90 cmH2O(optional)  Tactile knob indication at above 30 cmH2O
    • Accuracy: ± 10 cmH2O or ± 15% of the setting value, which is greater

Anesthetic Gas Scavenging System (AGSS)

  • Size: (H x W x D) 480 x 134 x 95 mm
  • Type of Disposal System:  Low Flow Active AGSS
  • Applicable Standard: ISO 80601-2-13
  • Pump Rate: 40 ~ 50 L/min
  • Connector of the Disposal System:  ISO 9170-2

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